Active NPI
Leotis Williams, DMD
- General Practice Dentistry
- Bessemer, AL
National Provider Identifier
1760642292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- LNO 3979
- Practice address
- 5227 Bessemer Highway
Ste a
Bessemer, AL 35020 - Phone
- (205) 424-0029
- Fax
- (205) 425-0069
- NPI assigned
- Jun 9, 2008
- 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 | LNO 3979 | AL | Primary |
Addresses
Primary practice location
5227 Bessemer Highway
Ste a
Bessemer, AL 35020
Mailing address
PO Box 28244
Birmingham, AL 35228
Phone (205) 424-0029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90152 | Other | AL | BLUE CROSS |
| 008500690 | Medicaid | AL |
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 |
|---|---|---|---|
| LNO 3979 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1760642292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28244",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35228",
"telephone_number": "205-424-0029",
"fax_number": "205-425-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5227 BESSEMER HIGHWAY",
"address_2": "STE A",
"city": "BESSEMER",
"state": "AL",
"postal_code": "35020",
"telephone_number": "205-424-0029",
"fax_number": "205-425-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LEOTIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "LNO 3979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "90152",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008500690",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.