Active NPI
Brian Douglas Williams, DDS
- General Practice Dentistry
- Redmond, WA
National Provider Identifier
1760600100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE8600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DE8600 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redmond Family Dentistry | Current | Accepting new patients | |
| Dr. Michelle G. Chang DMD PLLC | General Practice | Past | Accepting new patients |
| Broughton Dunn PLLC | General Practice | Past | Accepting new patients |
| Steve Lee | General Practice | Past | 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.
-
- Dental Clinic/Center
- Redmond, WA
- NPI 1497360119
-
- General Practice Dentistry
- Federal Way, WA
- NPI 1043131410
-
- General Practice Dentistry
- Renton, WA
- NPI 1275105033
-
- General Practice Dentistry
- Renton, WA
- NPI 1134674369
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.