Organization Active NPI

Wendell a Williams DDS

  • Dentist
  • Oakland, CA
National Provider Identifier
1851570634
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36053 Issued in CA
Legal business name
WENDELL A WILLIAMS DDS
Practice address
5900 Shattuck Ave
Suite 202
Oakland, CA 94609-0742
Phone
(510) 597-0337
Fax
(510) 597-0339
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Wendell Alfred Williams, DDS
Title
Dentist
Phone
(510) 597-0337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 36053 CA Primary

Addresses

Primary practice location

5900 Shattuck Ave
Suite 202
Oakland, CA 94609-0742

Mailing address

5900 Shattuck Ave
Suite 202
Oakland, CA 94609-0742
Phone (510) 597-0337

National Provider Directory

National Provider Directory

Locations

5900 Shattuck Ave
Ste 202
Oakland, CA 94609
Phone (510) 597-0337

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1851570634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SHATTUCK AVE",
            "address_2": "SUITE 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946090742",
            "telephone_number": "510-597-0337",
            "fax_number": "510-597-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SHATTUCK AVE",
            "address_2": "SUITE 202",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946090742",
            "telephone_number": "510-597-0337",
            "fax_number": "510-597-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDELL A WILLIAMS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-597-0337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.