Michael Jeffrey Williams, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

20171 Issued in MA

Practice address

120 South St
Pittsfield, MA 01201-6110

Phone

(413) 442-7855

NPI assigned

Jul 13, 2006

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 MA

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

State licenses

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.

• Michael J Williams, DMD, PC

  • Periodontics
  • Pittsfield, MA
  • NPI 1255463691
  NPD (past) Authorized official
• Michael J Williams, DMD, PC

  • Periodontics
  • Pittsfield, MA
  • NPI 1598774218
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1851316103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GIOVINA DR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015476",
            "telephone_number": "413-442-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016110",
            "telephone_number": "413-442-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Wigmore, LICSW
• Kaitlyn Luminita Wiles, MSW
• Kayla Wilkinson
• Arin Willey
• Jonathan Williams
• Amelia Wilson, MS
• Angela Wilson, M.A.
• David Whiting Wilson, M.D.
• Kathleen Wilson
• Logan Wilson, DMD

• Periodontics in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.