Phillip R Williams, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4776 Issued in KY

Practice address

2418 W Market St
Louisville, KY 40212-1539

Phone

(502) 772-0704

Fax

(502) 772-9587

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• West End Family Dental Clinic LLC

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1053734541

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902969736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 W MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121539",
            "telephone_number": "502-772-0704",
            "fax_number": "502-772-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 W MARKET ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121539",
            "telephone_number": "502-772-0704",
            "fax_number": "502-772-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PHILLIP",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel James Williams, MD
• Nicole Williams
• Nicole M Williams, PT
• Patricia Gail Williams, MD
• Patrick Murray Williams, M.D.
• Rachel Alyse Williams, OTR/L
• Ramonica L Williams, MASTERS
• Ravan Williams, RBT
• Rhonda Renee Williams, ED.D., CCC-SLP
• Richard Lamar Williams, LBA

• All providers in Louisville, KY
• General Practice Dentistry in Kentucky

• 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.

Verify at the official NPI Registry.