Individual provider Active NPI

Dante' De'Shawn Williams

  • Behavior Technician
  • New Orleans, LA
National Provider Identifier
1770043416
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3712 Macarthur Blvd Ste 100
New Orleans, LA 70114-6861
Phone
(504) 882-8105
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

3712 Macarthur Blvd Ste 100
New Orleans, LA 70114-6861

Mailing address

3712 Macarthur Blvd Ste 100
New Orleans, LA 70114-6861
Phone (504) 882-8105

Other identifiers 2

IdentifierTypeStateIssuer
1543866586OtherLATRICARE
7279765248912MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwil0829@my.suno.edu

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

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1770043416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 MACARTHUR BLVD STE 100",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146861",
            "telephone_number": "504-882-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 MACARTHUR BLVD STE 100",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146861",
            "telephone_number": "504-882-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANTE'",
        "middle_name": "DE'SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1543866586",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7279765248912",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwil0829@my.suno.edu",
            "affiliation": "N",
            "address_1": "3712 MacArthur Blvd Ste 100",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701146861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.