Schrie Willis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

24191 Issued in TX

Practice address

5335 Broadway Blvd
Ste 209
Garland, TX 75043-7000

Phone

(972) 240-7585

NPI assigned

Nov 1, 2010

Last updated

Jul 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willis Family Dentistry

  • Dentist
  • Garland, TX
  • NPI 1417298365
  NPD (past) Authorized official
• Westmoreland Dental of Garland, PC

  • Dentist
  • Garland, TX
  • NPI 1609045418
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1821398298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 BROADWAY BLVD",
            "address_2": "STE 209",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750437000",
            "telephone_number": "972-240-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 BROADWAY BLVD",
            "address_2": "STE 209",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750437000",
            "telephone_number": "972-240-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SCHRIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24191",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Wayne Williamson, D.C.
• Jane Elizabeth Williamson, LPC
• Ruth Ann Williamson, MS RN FNP
• Willis Family Dentistry
• Courtney Willis, CCC-SLP
• Wills Optical of Garland Inc (Metro Plex Optical)
• Hannah Agnes Wilson
• Jasmin Jenay Wilson, LMSW
• Rhonda Goree Wilson, LBSW
• Apryl R Winfrey, CNA

• Dentist in Garland, TX
• Providers in Garland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.