Active NPI
Ryan Lee Williams, D.C.
- Chiropractor
- Benson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3387
- Practice address
- 27 Annette Dr
Suite 109
Benson, NC 27504-8045 - Phone
- (919) 989-1888
- NPI assigned
- Aug 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3387 | NC | Primary |
Addresses
Primary practice location
27 Annette Dr
Suite 109
Benson, NC 27504-8045
Mailing address
152 Pedernales Dr
Smithfield, NC 27577-9550
Phone (919) 740-7725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902113 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
58 Old Roberts Rd
Benson, NC 27504-8047
Phone (919) 989-1888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3387 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Family Chiropractic | Chiropractor | Current | Accepting new patients |
| Vardy Chiropractic and Wellness Clinics | Chiropractor | Past | Accepting new patients |
| Crossroads Wellness and Rehab, PA | Past | Accepting new patients |
Locations
27 Annette Dr
Ste 109
Benson, NC 27504
Phone (919) 989-1888
58 Old Roberts Rd
Benson, NC 27504
Phone (919) 934-2600
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Benson, NC
- NPI 1326155078
-
- Family Medicine Physician
- Benson, NC
- NPI 1366674913
-
dba Wendell Family Chiropractic
- Chiropractor
- Wendell, NC
- NPI 1366525149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023021755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 PEDERNALES DR",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275779550",
"telephone_number": "919-740-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 ANNETTE DR",
"address_2": "SUITE 109",
"city": "BENSON",
"state": "NC",
"postal_code": "275048045",
"telephone_number": "919-989-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RYAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902113",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benson, NC
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.