James R Williams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09691 Issued in MN

Practice address

520 4TH St S
Sauk Centre, MN 56378-1210

Phone

(320) 352-2171

Fax

(320) 352-2171

NPI assigned

Oct 5, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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)

Enrolled

State licenses

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.

• Dr. James R. Williams of Sauk Centre DDS PA

  • Dental Clinic/Center
  • Sauk Centre, MN
  • NPI 1063247682
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962598235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 4TH ST S",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781210",
            "telephone_number": "320-352-2171",
            "fax_number": "320-352-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 4TH ST S",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781210",
            "telephone_number": "320-352-2171",
            "fax_number": "320-352-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "09691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0034820100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John B Welle, D.C.
• West Central Ed District 6026
• Isaiah Westby, DC
• Marie Louise Wiener
• Ulrika M Wigert, MD.
• Winter'S Main Street Drug
• Mark Winters, DC
• Kevin Elmer Zimmer, CRNA

• General Practice Dentistry in Sauk Centre, MN
• Providers in Sauk Centre, MN by specialty
• General Practice Dentistry in Minnesota

• 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.