Active NPI
William Nelson Jr., D.C.
- Chiropractor
- Salisbury, MD
National Provider Identifier
1073986014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03859
- Practice address
- 32071 Beaver Run Dr
Ste B
Salisbury, MD 21804-1704 - Phone
- (410) 341-6520
- NPI assigned
- Nov 12, 2015
- 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 | S03859 | MD | Primary |
Addresses
Primary practice location
32071 Beaver Run Dr
Ste B
Salisbury, MD 21804-1704
Mailing address
PO Box 1859
Salisbury, MD 21802-1859
Phone (410) 341-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
32071 Beaver Run Dr
Suite B
Salisbury, MD 21804-1704
Phone (410) 341-6520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S03859 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisu Health LLC | Chiropractor | Current | Accepting new patients |
Locations
32071 Beaver Run Dr
Ste B
Salisbury, MD 21804
Phone (410) 341-0520
Interoperability endpoints
- https://api.platform.athenahealth.com/22554/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Salisbury, MD
- NPI 1811637986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1073986014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1859",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218021859",
"telephone_number": "410-341-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32071 BEAVER RUN DR",
"address_2": "STE B",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041704",
"telephone_number": "410-341-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-12",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.