Active NPI
Jenny McWilliams, DDS
- Dentist
- Evansville, IN
National Provider Identifier
1891715165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010009A
- Practice address
- 950 S Kenmore Dr
Evansville, IN 47714-7513 - Phone
- (812) 485-5804
- Fax
- (812) 485-5810
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 12010009A | IN | Primary |
Addresses
Primary practice location
950 S Kenmore Dr
Evansville, IN 47714-7513
Mailing address
950 S Kenmore Dr
Evansville, IN 47714-7513
Phone (812) 485-5804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Dental Care PC | Dentist | Current | Accepting new patients |
Locations
200 Byrd Way
Ste 205
Greenwood, IN 46143
8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112
Organizations & group practices 1
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": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891715165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S KENMORE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477147513",
"telephone_number": "812-485-5804",
"fax_number": "812-485-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S KENMORE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477147513",
"telephone_number": "812-485-5804",
"fax_number": "812-485-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "JENNY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010009A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.