Kenneth L Williams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6093 Issued in KS

Practice address

2607 S Santa Fe Ave
Chanute, KS 66720-3206

Phone

(620) 431-3000

Fax

(620) 431-6122

NPI assigned

Jun 6, 2007

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 KS

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

Practice roles

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.

• Kenneth L Williams D.D.S. P.a.

  • General Practice Dentistry
  • Chanute, KS
  • NPI 1033197090
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1801099189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 S SANTA FE AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667203206",
            "telephone_number": "620-431-3000",
            "fax_number": "620-431-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 S SANTA FE AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667203206",
            "telephone_number": "620-431-3000",
            "fax_number": "620-431-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Weilert, DC
• Timothy D. Weilert, D.C.
• Mark D Wendt, D.O.
• Wheatland Health Services, LLC
• Amy M White Blakesley, PSYD
• Steffany Dawn Wilson, LPC
• William Dean Winder
• David John Wirtz
• Mark Witaczack, DO
• Kenneth Wood III

• General Practice Dentistry in Chanute, KS
• Providers in Chanute, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.