NPIMap

Organization Active NPI

Williams Chiropractic Clinics, P.C.

  • Chiropractor
  • Spring Valley, CA
National Provider Identifier
1043950850
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WILLIAMS CHIROPRACTIC CLINICS, P.C.
Doing business as
Spring Valley Chiropractic
Practice address
9676 Campo Rd Ste B
Spring Valley, CA 91977-1251
Phone
(619) 465-9700
Fax
(619) 465-4712
NPI assigned
Mar 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Dr. Timothy Joseph Williams, DCNPI 1033161369
Title
President
Phone
(619) 465-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9676 Campo Rd Ste B
Spring Valley, CA 91977-1251

Mailing address

9676 Campo Rd Ste B
Spring Valley, CA 91977-1251
Phone (619) 465-9700

Other names 1

  • Spring Valley Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004001752 CA Part B Supplier - Clinic/Group Practice 0143606848 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Valley, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1043950850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9676 CAMPO RD STE B",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771251",
            "telephone_number": "619-465-9700",
            "fax_number": "619-465-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9676 CAMPO RD STE B",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771251",
            "telephone_number": "619-465-9700",
            "fax_number": "619-465-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CHIROPRACTIC CLINICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-465-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Valley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.