Active NPI
Dante' De'Shawn Williams
- Behavior Technician
- New Orleans, LA
National Provider Identifier
1770043416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1543866586 | Other | LA | TRICARE |
| 7279765248912 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.