Thomas Ford Williams, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10461 Issued in TX

Practice address

695 18TH St
Beaumont, TX 77706-5013

Phone

(409) 838-9983

Fax

(409) 833-2550

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720083256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 18TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065013",
            "telephone_number": "409-838-9983",
            "fax_number": "409-833-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 18TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065013",
            "telephone_number": "409-838-9983",
            "fax_number": "409-833-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "THOMAS",
        "middle_name": "FORD",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "167769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Denise Williams, M.S CCC-SLP
• Regina Lyn Williams, R.T.(R)(M)(CT)(ARRT)
• Roland Melvin Williams, DDS
• Stephanie Angela Williams, FNP-C
• Steven Chad Williams, CRNA
• Kali Suzanne Williamson
• Brianna Willis, O.D.
• Jason J Willis, DPM
• Wilson Chiropractic
• Caleb T Wilson

• General Practice Dentistry in Beaumont, TX
• Providers in Beaumont, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.