Bubbleboy Enterprises LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2472 Issued in OH

Legal business name

BUBBLEBOY ENTERPRISES LTD

Practice address

434 W Union St
Athens, OH 45701-2336

Phone

(740) 589-2000

Fax

(740) 589-2002

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Drew Richard Williams, D.C.

Title

President

Phone

(740) 589-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• All Star Family Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1043371248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W UNION ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012336",
            "telephone_number": "740-589-2000",
            "fax_number": "740-589-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W UNION ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012336",
            "telephone_number": "740-589-2000",
            "fax_number": "740-589-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUBBLEBOY ENTERPRISES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-589-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118087",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Star Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reece Brunton
• Bradley Alan Bryan, M.D.
• Joseph Bryan
• Kahla Bryan
• Rachel Michelle Bryan, FNP
• Tommy Buchanan
• Lucy Kay Martin Bucher, D.O.
• Heather R. Buckley, CNP
• Mark Daniele Bugada, DO
• Navapon Bungthong

• All providers in Athens, OH
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.