NPIMap

Individual provider Active NPI

Claudia Nickole Williams-Conerly, DDS

  • Pediatric Dentistry
  • Silver Spring, MD
National Provider Identifier
1851479000
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14126 Issued in MD
Practice address
10313 Georgia Ave Ste 210
Silver Spring, MD 20902-5006
Phone
(301) 565-3536
Fax
(301) 576-3536
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 2901017593 MI
Pediatric Dentistry 1223P0221X 14126 MD Primary

Addresses

Primary practice location

10313 Georgia Ave Ste 210
Silver Spring, MD 20902-5006

Mailing address

10313 Georgia Ave Ste 210
Silver Spring, MD 20902-5006
Phone (301) 565-3536

Other identifiers 1

IdentifierTypeStateIssuer
028818700MedicaidMD

Other names 1

  • Dr. Claudia Nickole Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901017593MIMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Age One Pediatric Dentistry Pediatric Dentistry CurrentSince Jan 29, 2023 Accepting new patients
Age One Pediatric Dentistry Pediatric Dentistry Current Accepting new patients
Patricia L Taylor and Marcia F Gilbert Past Accepting new patients

Locations

8630 Fenton St
Ste 710
Silver Spring, MD 20910
Phone (301) 589-1044

10313 Georgia Ave
Ste 210
Silver Spring, MD 20902
Phone (301) 565-3536

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1851479000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 210",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-565-3536",
            "fax_number": "301-576-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 210",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-565-3536",
            "fax_number": "301-576-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-CONERLY",
        "first_name": "CLAUDIA",
        "middle_name": "NICKOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "2901017593",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028818700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "WILLIAMS",
            "middle_name": "NICKOLE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.