Organization Active NPI

Michael O. Williams, D.D.S.,P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gulfport, MS
National Provider Identifier
1710268669
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1738-76 Issued in MS
Legal business name
MICHAEL O. WILLIAMS, D.D.S.,P.A.
Practice address
424 Courthouse Rd
Gulfport, MS 39507-1849
Phone
(228) 896-8333
NPI assigned
Sep 6, 2011
Last updated
Sep 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Owen Williams, D.D.S.NPI 1013105451
Title
Orthodontist Director
Phone
(228) 896-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 1738-76 MS Primary

Addresses

Primary practice location

424 Courthouse Rd
Gulfport, MS 39507-1849

Mailing address

424 Courthouse Rd
Gulfport, MS 39507-1849
Phone (228) 896-8333

National Provider Directory

National Provider Directory
Tax ID family
Michael O Williams Ddspa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

424 Courthouse Rd
Gulfport, MS 39507
Phone (228) 896-8333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1710268669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071849",
            "telephone_number": "228-896-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 COURTHOUSE RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071849",
            "telephone_number": "228-896-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O. WILLIAMS, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "ORTHODONTIST DIRECTOR",
        "authorized_official_telephone_number": "228-896-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "1738-76",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.