Christiaan Anthony Willig, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010401A Issued in IN

Practice address

110 N Nappanee St
Elkhart, IN 46514-1956

Phone

(574) 293-5216

Fax

(574) 522-1239

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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.

• Christiaan a. Willig, DDS, P.C.

  • General Practice Dentistry
  • Elkhart, IN
  • NPI 1427370097

  General Practice

  NPD (past) Authorized official
• Christiaan a. Willig, DDS, PC

  • General Practice Dentistry
  • Elkhart, IN
  • NPI 1730457151

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1801880422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141956",
            "telephone_number": "574-293-5216",
            "fax_number": "574-522-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141956",
            "telephone_number": "574-293-5216",
            "fax_number": "574-522-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIG",
        "first_name": "CHRISTIAAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010401A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13128866432",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamond Williams
• Melissa Williams
• Paula Williams, BCBA
• Sierra Williams, RBT
• Stephany Williams, LMHC
• Marla Jean Wills, LCSW
• Adam Abdul Alim Wilson, CRNA
• Danielle Wilson
• Madison Wilson
• Samantha Wilson, CNP

• All providers in Elkhart, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.