Active NPI
Jeremy Vincent Williams
- Dentist
- New Orleans, LA
National Provider Identifier
1871191817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7143
- Practice address
- 7023 Read LN
New Orleans, LA 70127-2366 - Phone
- (504) 244-0177
- NPI assigned
- Oct 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7143 | LA | Primary |
Addresses
Primary practice location
7023 Read LN
New Orleans, LA 70127-2366
Mailing address
2724 Woodmere Blvd
Harvey, LA 70058-2031
Phone (504) 495-5844
Other practice location 1
3201 General Meyer Ave Ste B
New Orleans, LA 70114-3201
Phone (504) 365-5573
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7143 | Other | LA | PRIVATE INSURANCE |
| 7143 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7143 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1871191817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 WOODMERE BLVD",
"city": "HARVEY",
"state": "LA",
"postal_code": "700582031",
"telephone_number": "504-495-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 READ LN",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701272366",
"telephone_number": "504-244-0177"
}
],
"practiceLocations": [
{
"address_1": "3201 General Meyer Ave Ste B",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701143201",
"country_code": "US",
"telephone_number": "504-365-5573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JEREMY",
"middle_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "7143",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7143",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.