Kimberly Alisa Williams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25442 Issued in TX

Practice address

2501 N Main St
Ste 220
Euless, TX 76039-2052

Phone

(817) 267-2700

Fax

(817) 267-4653

NPI assigned

Jun 3, 2010

Sex

Female

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 TX

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.

• Robert E. Tafel, D.D.S., P.a.

  • General Practice Dentistry
  • Euless, TX
  • NPI 1841348042
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1821318635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N MAIN ST",
            "address_2": "STE 220",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760392052",
            "telephone_number": "817-267-2700",
            "fax_number": "817-267-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N MAIN ST",
            "address_2": "STE 220",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760392052",
            "telephone_number": "817-267-2700",
            "fax_number": "817-267-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "ALISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Nicole Wendling, RPH
• Micaela Wenth
• Westpark Discount Pharmacy
• William Stanton Allred
• Brooks Andrew Williams, DPT
• Mary Constance Williams, NP
• Zachary Deleon Willis
• Warren Winslow Wilson, DC
• Kayla Winans, RN
• Withgrace Care Services LLC

• General Practice Dentistry in Euless, TX
• Providers in Euless, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.