Michael E. Williamson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3715 Issued in AL

Practice address

701 Medical Center Pkwy
Boaz, AL 35957-5938

Phone

(256) 593-3211

Fax

(256) 593-3225

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Michael E. Williamson D.M.D, P.C.

  • Dental Clinic/Center
  • Boaz, AL
  • NPI 1417411745
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790816833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575938",
            "telephone_number": "256-593-3211",
            "fax_number": "256-593-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575938",
            "telephone_number": "256-593-3211",
            "fax_number": "256-593-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Wilborn, CRNA
• Abby Williams, MSN, CRNP, FNP-C
• Brian Thomas Williams, PHARMD
• Chase Alexander Williams
• Thomas Simeon Williams, DMD
• Alan K Willis, M.D.
• Skylar Faith Wilson
• Michael A. Wohlschlaeger, D.C.
• Courtney Chloe Wright
• Ronald Felix Yu Tiamco, M.D.

• General Practice Dentistry in Boaz, AL
• Providers in Boaz, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.