Individual provider Active NPI

Travis Alexander Williams

  • Oral and Maxillofacial Surgery (Dentist)
  • Clearwater, FL
National Provider Identifier
1972967453
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN27140 Issued in FL
Practice address
23680 US Highway 19 N
Clearwater, FL 33765-1571
Phone
(727) 470-4069
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN27140 FL Primary

Addresses

Primary practice location

23680 US Highway 19 N
Clearwater, FL 33765-1571

Mailing address

2910 W Barcelona St Unit 703
Tampa, FL 33629-7458
Phone (727) 470-4069

Other practice location 1

6015 W Nordling Loop
Crystal River, FL 34429-8716
Phone (727) 470-4069

Other practice location 2

305 E Altamonte Dr Ste 1020
Altamonte Springs, FL 32701-4404
Phone (727) 470-4069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN27140FLMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1972967453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 W BARCELONA ST UNIT 703",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297458",
            "telephone_number": "727-470-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23680 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651571",
            "telephone_number": "727-470-4069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6015 W Nordling Loop",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344298716",
            "country_code": "US",
            "telephone_number": "727-470-4069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E Altamonte Dr Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014404",
            "country_code": "US",
            "telephone_number": "727-470-4069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRAVIS",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN27140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.