Organization Active NPI

James R Williams DDS PC

  • General Practice Dentistry
  • Mount Morris, MI
National Provider Identifier
1912017765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901013013 Issued in MI
Legal business name
JAMES R WILLIAMS DDS PC
Practice address
11610 N Saginaw St
Mt Morris, MI 48458
Phone
(810) 686-8460
Fax
(810) 686-4098
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Raymond Williams III, DDSNPI 1437363819
Title
President
Phone
(810) 686-8460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901013013 MI Primary

Addresses

Primary practice location

11610 N Saginaw St
Mt Morris, MI 48458

Mailing address

11610 N Saginaw St
Mt Morris, MI 48458
Phone (810) 686-8460

National Provider Directory

National Provider Directory

Locations

11610 N Saginaw St
Mount Morris, MI 48458
Phone (810) 686-8460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912017765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 N SAGINAW ST",
            "city": "MT MORRIS",
            "state": "MI",
            "postal_code": "48458",
            "telephone_number": "810-686-8460",
            "fax_number": "810-686-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 N SAGINAW ST",
            "city": "MT MORRIS",
            "state": "MI",
            "postal_code": "48458",
            "telephone_number": "810-686-8460",
            "fax_number": "810-686-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R WILLIAMS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-686-8460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.