Active NPI
Rachel Isabelle Williams, DDS
- Dentist
- Manassas, VA
National Provider Identifier
1720196959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401414200
- Practice address
- 10529 Crestwood Dr
Manassas, VA 20109-4418 - Phone
- (425) 283-6912
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5892 C1 | AL | |
| Dentist | 122300000X | DR20000163 | WA | |
| Dentist | 122300000X | 1649 | OK | |
| Dentist | 122300000X | 0401414200 | VA | Primary |
Addresses
Primary practice location
10529 Crestwood Dr
Manassas, VA 20109-4418
Mailing address
7754 Tara Heights PL
Springfield, VA 22153-2239
Phone (425) 283-6912
Other practice location 1
1934 Chancellor Ridge Rd
Prattville, AL 36066-5526
Phone (425) 283-6912
Other names 1
- Rachel Isabelle Evans
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160610001825 | WA | Order and Referring Only - Dentist | 1951691476 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5892 C1 | AL | MD | Dentist |
| 0401414200 | VA | MD | Dentist |
| DR20000163 | WA | MD | Dentist |
| 1649 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609459200000",
"number": "1720196959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7754 TARA HEIGHTS PL",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221532239",
"telephone_number": "425-283-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10529 CRESTWOOD DR",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201094418",
"telephone_number": "425-283-6912"
}
],
"practiceLocations": [
{
"address_1": "1934 Chancellor Ridge Rd",
"address_purpose": "LOCATION",
"city": "Prattville",
"state": "AL",
"postal_code": "360665526",
"country_code": "US",
"telephone_number": "425-283-6912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RACHEL",
"middle_name": "ISABELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2021-01-01",
"certification_date": "2021-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5892 C1",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DR20000163",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "1649",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "EVANS",
"middle_name": "ISABELLE",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; 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.