Active NPI
Stephanie S Williams, DMD
- Endodontics
- Winter Park, FL
National Provider Identifier
1962511519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN13648
- Practice address
- 400 W Morse Blvd
102
Winter Park, FL 32789-4261 - Phone
- (407) 644-4463
- Fax
- (407) 644-4886
- NPI assigned
- Aug 29, 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN13648 | FL | Primary |
Addresses
Primary practice location
400 W Morse Blvd
102
Winter Park, FL 32789-4261
Mailing address
400 W Morse Blvd
102
Winter Park, FL 32789-4261
Phone (407) 644-4463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 5, 2016 through Apr 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN13648 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962511519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W MORSE BLVD",
"address_2": "102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894261",
"telephone_number": "407-644-4463",
"fax_number": "407-644-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MORSE BLVD",
"address_2": "102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894261",
"telephone_number": "407-644-4463",
"fax_number": "407-644-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "STEPHANIE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN13648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.