Individual provider Active NPI

Windy Williams, D.D.S.

  • Dentist
  • Rumford, ME
National Provider Identifier
1992955413
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN4119 Issued in ME
Practice address
60 Lowell St
Rumford, ME 04276-2064
Phone
(207) 369-3600
Fax
(207) 369-3604
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN4119 ME Primary

Addresses

Primary practice location

60 Lowell St
Rumford, ME 04276-2064

Mailing address

60 Lowell St
Rumford, ME 04276-2064
Phone (207) 369-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20170213000911 KY Practitioner - Oral Surgery 9739462052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN4119MEMDDentist
9394KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Care Dental of Kentucky PLLC CurrentSince Dec 14, 2016 Accepting new patients

Locations

106 Padgett Dr
Clinton, KY 42031
Phone (270) 653-5558

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1992955413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LOWELL ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762064",
            "telephone_number": "207-369-3600",
            "fax_number": "207-369-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LOWELL ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762064",
            "telephone_number": "207-369-3600",
            "fax_number": "207-369-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WINDY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumford, ME

Sources for this page

Verify at the official NPI Registry.