NPIMap

Organization Active NPI

Christiaan a. Willig, DDS, PC

  • General Practice Dentistry
  • Elkhart, IN
National Provider Identifier
1730457151
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
IN12010401A Issued in IN
Legal business name
CHRISTIAAN A. WILLIG, DDS, PC
Practice address
110 N Nappanee St
Elkhart, IN 46514-1956
Phone
(574) 293-5216
Fax
(574) 522-1239
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Christiaan Anthony Willig, DDSNPI 1801880422
Title
President/Owner
Phone
(574) 293-5216

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IN12010401A IN Primary

Addresses

Primary practice location

110 N Nappanee St
Elkhart, IN 46514-1956

Mailing address

110 N Nappanee St
Elkhart, IN 46514-1956
Phone (574) 293-5216

Other names 1

  • Orange Door Dental Group of Warsaw Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christiaan a Willig DDS PC2 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

110 N Nappanee St
Elkhart, IN 46514
Phone (574) 293-5216

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1730457151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141956",
            "telephone_number": "574-293-5216",
            "fax_number": "574-522-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141956",
            "telephone_number": "574-293-5216",
            "fax_number": "574-522-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAAN A. WILLIG, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "WILLIG",
        "authorized_official_first_name": "CHRISTIAAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "574-293-5216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "IN12010401A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Door Dental Group of Warsaw",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.