Active NPI
Richard Woodrow Williams III, D.C., LAT, ATC, CCEP
- Chiropractor
- Taylorsville, NC
National Provider Identifier
1073945994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4399
- Practice address
- 174 Bolick LN
Suite 102
Taylorsville, NC 28681-3319 - Phone
- (828) 598-0371
- Fax
- (828) 598-0372
- NPI assigned
- Aug 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 4399 | NC | Primary |
Addresses
Primary practice location
174 Bolick LN
Suite 102
Taylorsville, NC 28681-3319
Mailing address
PO Box 6225
Hickory, NC 28603-6225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4399 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1073945994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6225",
"city": "HICKORY",
"state": "NC",
"postal_code": "286036225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 BOLICK LN",
"address_2": "SUITE 102",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286813319",
"telephone_number": "828-598-0371",
"fax_number": "828-598-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RICHARD",
"middle_name": "WOODROW",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C., LAT, ATC, CCEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.