Active NPI
Bill Adams, DC, DACBR
- Radiology Chiropractor
- Erie, PA
National Provider Identifier
1104830330
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 19, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- DC-007794L
- Practice address
- 6660 Peach St Unit 7 # 323
Erie, PA 16509-7718 - Phone
- (484) 634-6925
- Fax
- (866) 512-5215
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | DC-007794L | PA | Primary |
Addresses
Primary practice location
6660 Peach St Unit 7 # 323
Erie, PA 16509-7718
Mailing address
6660 Peach St Unit 7 # 323
Erie, PA 16509-7718
Phone (484) 634-6925
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019504270002 | Medicaid | PA | |
| 2574808 | Other | PA | AETNA |
| 433012ADA | Other | PA | UNITED HEALTHCARE |
| AD916544 | Other | PA | BLUE SHIELD |
| 1038321 | Other | PA | ASHN/CAPITAL BLUE CROSS |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-007794L | PA | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine Centers | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Allentown, PA
- NPI 1295775153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104830330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6660 PEACH ST UNIT 7 # 323",
"city": "ERIE",
"state": "PA",
"postal_code": "165097718",
"telephone_number": "484-634-6925",
"fax_number": "866-512-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6660 PEACH ST UNIT 7 # 323",
"city": "ERIE",
"state": "PA",
"postal_code": "165097718",
"telephone_number": "484-634-6925",
"fax_number": "866-512-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "BILL",
"name_prefix": "Dr.",
"credential": "DC, DACBR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "PA",
"license": "DC-007794L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019504270002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2574808",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "433012ADA",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "AD916544",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN/CAPITAL BLUE CROSS",
"identifier": "1038321",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.