Individual provider Active NPI

Zachary Codey Williams, DMD

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1891354346
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11462 Issued in NC
Practice address
10949 Old Ardrey Kell Rd Ste 202
Charlotte, NC 28277-4358
Phone
(704) 733-9174
Fax
(704) 336-9632
NPI assigned
Jun 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11462 NC Primary

Addresses

Primary practice location

10949 Old Ardrey Kell Rd Ste 202
Charlotte, NC 28277-4358

Mailing address

10949 Old Ardrey Kell Rd Ste 202
Charlotte, NC 28277-4358
Phone (704) 733-9174

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
11462NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Brown DDS PLLC General Practice CurrentSince Apr 20, 2025 Accepting new patients
Williams, Greene & Associates, PLLC Current Accepting new patients
Donald R Fortner Jr DMD General Practice PastSince Sep 11, 2022 Accepting new patients

Locations

10949 Old Ardrey Kell Rd
Ste 202
Charlotte, NC 28277
Phone (704) 733-9174

1834 Jake Alexander Blvd W
Ste 504
Salisbury, NC 28147
Phone (704) 636-1848

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": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1891354346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10949 OLD ARDREY KELL RD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774358",
            "telephone_number": "704-733-9174",
            "fax_number": "704-336-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10949 OLD ARDREY KELL RD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774358",
            "telephone_number": "704-733-9174",
            "fax_number": "704-336-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ZACHARY",
        "middle_name": "CODEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-09",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.