DR. JORDAN NATHANIEL WILLIAMS DMD
NPI 1891011755
Dentist - Oral and Maxillofacial Surgery in Oak Lawn, IL
About Dr. Jordan Nathaniel Williams Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN NATHANIEL WILLIAMS DMD (NPI 1891011755) is an individual oral and maxillofacial surgery provider in Oak Lawn, Illinois, licensed in Illinois (019027701) and active in the NPI registry since April 2010. He has opted out of Medicare through May 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jordan Nathaniel Williams Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2017 through May 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan Williams's NPI number?
The NPI number for Jordan Williams is 1891011755. It was assigned to this individual provider in the NPPES registry on April 15, 2010.
Where is Jordan Williams located?
Jordan Williams practices at 6735 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 598-0717.
What is Jordan Williams's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Jordan Williams enrolled in Medicare?
No. Jordan Williams has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jordan Williams was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jordan Nathaniel Williams, DMD · NPI 1891011755
Oral and Maxillofacial Surgery provider in Oak Lawn, Illinois. Individual provider, active in the CMS NPPES registry since April 15, 2010.
## Identity
- **NPI:** 1891011755 (Entity type: Individual)
- **Enumerated:** April 15, 2010
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 019027701 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6735 W 95TH ST, Oak Lawn, IL 60453-2112
- **Phone:** (708) 598-0717
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 15, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1891011755) · Data from the CMS NPPES public registry.