Individual provider Active NPI

Timothy Joseph Williams, D.C.

  • Chiropractor
  • Livonia, MI
National Provider Identifier
1033161369
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005001 Issued in MI
Practice address
33595 7 Mile Rd
Livonia, MI 48152-3077
Phone
(248) 473-6491
Fax
(248) 473-6475
NPI assigned
May 16, 2006
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005001 MI Primary

Addresses

Primary practice location

33595 7 Mile Rd
Livonia, MI 48152-3077

Mailing address

33595 7 Mile Rd
Livonia, MI 48152-3077
Phone (248) 473-6491

Other identifiers 4

IdentifierTypeStateIssuer
P83165OtherMIBCN
150707OtherMISELECTCARE
4719420MedicaidMI
950H25137OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111010000603 MI Practitioner - Chiropractic 6204973449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33595 7 Mile Rd
Livonia, MI 48152-3077
Phone (248) 473-6491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005001MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Chiropractic Clinics, P.C. Chiropractor CurrentSince Sep 6, 1984 Accepting new patients
Livonia Chiropractic, PC Chiropractor CurrentSince Jun 14, 2022 Accepting new patients
GCWL Spring Valley Jordan Chiropractic, Inc. Chiropractor PastSince Apr 17, 2022 Accepting new patients

Locations

9676 Campo Rd
Ste B
Spring Valley, CA 91977
Phone (619) 465-9700

33595 7 Mile Rd
Livonia, MI 48152
Phone (248) 473-6491

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1033161369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33595 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523077",
            "telephone_number": "248-473-6491",
            "fax_number": "248-473-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33595 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523077",
            "telephone_number": "248-473-6491",
            "fax_number": "248-473-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P83165",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE",
            "identifier": "150707",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4719420",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950H25137",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.

Verify at the official NPI Registry.