Robert Douglas Williams, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010471A Issued in IN

Practice address

3041 E Main St
Richmond, IN 47374-5924

Phone

(765) 935-5335

Fax

(765) 983-3850

NPI assigned

Feb 14, 2007

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

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.

• Wayne County Dental Associates LLC

  • General Practice Dentistry
  • Richmond, IN
  • NPI 1649313495
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801939673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745924",
            "telephone_number": "765-935-5335",
            "fax_number": "765-983-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745924",
            "telephone_number": "765-935-5335",
            "fax_number": "765-983-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010471A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gevin W Willhelm, DO
• William Delbert Fisher D.O., Inc
• Benjamin Williams
• Cara N Williams, NP
• Hubert Williams Jr., LAC
• Ronald N. Williams, PH.D.
• Shanna M Williams, PA-C
• Joseph Williamson, D.O.
• Marsha S. Williamson, CNM, MSN
• Michael J Williamson, D.O.

• General Practice Dentistry in Richmond, IN
• Providers in Richmond, IN by specialty
• General Practice Dentistry in Indiana

• 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.