Individual provider Active NPI

Brian Douglas Williams, DDS

  • General Practice Dentistry
  • Redmond, WA
National Provider Identifier
1760600100
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE8600 Issued in WA
Practice address
16260 NE 85TH St
Redmond, WA 98052-3528
Phone
(425) 883-6874
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE8600 WA Primary

Addresses

Primary practice location

16260 NE 85TH St
Redmond, WA 98052-3528

Mailing address

9524 SE 68TH St
Mercer Island, WA 98040-5119
Phone (206) 659-4487

Other practice location 1

32225 Pacific Hwy S
Suite 102
Federal Way, WA 98003-6000
Phone (253) 529-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE8600WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Family Dentistry CurrentSince Sep 20, 2020 Accepting new patients
Dr. Michelle G. Chang DMD PLLC General Practice PastSince Jul 20, 2021 Accepting new patients
Broughton Dunn PLLC General Practice Past Accepting new patients
Steve Lee General Practice PastSince Sep 1, 2020 Accepting new patients

Locations

16260 NE 85th St
Redmond, WA 98052
Phone (206) 883-6565

1620 Duvall Ave NE
Ste A
Renton, WA 98059
Phone (425) 271-6002

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1760600100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 SE 68TH ST",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405119",
            "telephone_number": "206-659-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 NE 85TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523528",
            "telephone_number": "425-883-6874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32225 Pacific Hwy S",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036000",
            "country_code": "US",
            "telephone_number": "253-529-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.