Organization Active NPI

J. Ladd Williams, D.D.S.

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1952597882
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
AZ4465 Issued in AZ
Legal business name
J. LADD WILLIAMS, D.D.S.
Practice address
1244 N Greenfield Rd
Suite 103
Mesa, AZ 85205-4077
Phone
(480) 964-9020
Fax
(480) 924-4545
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. J. Ladd Williams, D.D.S.NPI 1891727400
Title
Dentist
Phone
(480) 964-9020

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
Dental Clinic/Center 261QD0000X AZ4465 AZ Primary

Addresses

Primary practice location

1244 N Greenfield Rd
Suite 103
Mesa, AZ 85205-4077

Mailing address

1244 N Greenfield Rd
Suite 103
Mesa, AZ 85205-4077
Phone (480) 964-9020

National Provider Directory

National Provider Directory

Locations

1244 N Greenfield Rd
Ste 103
Mesa, AZ 85205
Phone (480) 964-9020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1952597882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N GREENFIELD RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054077",
            "telephone_number": "480-964-9020",
            "fax_number": "480-924-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N GREENFIELD RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054077",
            "telephone_number": "480-964-9020",
            "fax_number": "480-924-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. LADD WILLIAMS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "LADD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-964-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "AZ4465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.