Active NPI
John C Williams, D.D.S.
- Dentist
- Pearl Harbor, HI
National Provider Identifier
1700860145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-023877
- Practice address
- 480 Central Ave
Naval Health Clinic Hawaii
Pearl Harbor, HI 96860 - Phone
- (757) 672-1923
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-023877 | IL | Primary |
Addresses
Primary practice location
480 Central Ave
Naval Health Clinic Hawaii
Pearl Harbor, HI 96860
Mailing address
480 Central Ave
Naval Health Clinic Hawaii
Pearl Harbor, HI 96860
Phone (757) 672-1923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-023877 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1700860145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 CENTRAL AVE",
"address_2": "NAVAL HEALTH CLINIC HAWAII",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "96860",
"telephone_number": "757-672-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 CENTRAL AVE",
"address_2": "NAVAL HEALTH CLINIC HAWAII",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "96860",
"telephone_number": "757-672-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-023877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl Harbor, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.