NPIMap

Organization Active NPI

DRS Williams & Wimmer DDS PA

  • General Practice Dentistry
  • Plymouth, MN
National Provider Identifier
1740343953
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9629 Issued in MN
Legal business name
DRS WILLIAMS & WIMMER DDS PA
Practice address
9800 Rockford Rd
Plymouth, MN 55442-2811
Phone
(763) 559-4778
Fax
(763) 383-2976
NPI assigned
Dec 18, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DRS WILLIAMS & WIMMER DDS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Gary L Williams, DDSNPI 1053466359
Title
President
Phone
(763) 559-4778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9675 MN
General Practice Dentistry 1223G0001X D9675 MN
General Practice Dentistry 1223G0001X D9629 MN Primary

Addresses

Primary practice location

9800 Rockford Rd
Plymouth, MN 55442-2811

Mailing address

9800 Rockford Rd
Plymouth, MN 55442-2811
Phone (763) 559-4778

National Provider Directory

National Provider Directory
Tax ID family
DRS Williams Wimmer DDS PA2 organizations share this tax ID, including this one
Part of
DRS Williams Wimmer DDS PA

Other organizations with this tax ID 1

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

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1740343953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 ROCKFORD RD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422811",
            "telephone_number": "763-559-4778",
            "fax_number": "763-383-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 ROCKFORD RD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422811",
            "telephone_number": "763-559-4778",
            "fax_number": "763-383-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS WILLIAMS & WIMMER DDS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS WILLIAMS & WIMMER DDS PA",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-559-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9675",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9675",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.