Andrew Otis Williams, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

30180 Issued in CA

Practice address

9381 E Stockton Blvd
Suite # 130
Elk Grove, CA 95624-5068

Phone

(916) 686-6062

Fax

(916) 686-6144

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Backs in Motion Chirospa Inc

  • Chiropractor
  • Elk Grove, CA
  • NPI 1417350786
  Medicare reassignment Authorized official
• Hightower Chiropractic and Integrated Health of Sacramento, Inc.

  • Chiropractor
  • Elk Grove, CA
  • NPI 1710398052
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1104853175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9381 E STOCKTON BLVD",
            "address_2": "SUITE # 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245068",
            "telephone_number": "916-686-6062",
            "fax_number": "916-686-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9381 E STOCKTON BLVD",
            "address_2": "SUITE # 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245068",
            "telephone_number": "916-686-6062",
            "fax_number": "916-686-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREW",
        "middle_name": "OTIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashidah Tynetta Wiley, D.D.S.
• Malica Kilauna Wilkins
• Crystal Wilkinson, PHARMD
• Amber Michele Williams
• Andrea Victoria Williams, PSY.D., L.E.P.
• Anthony Scott Williams
• Charles Wayne Williams, CNS.,NP.
• Christina M Williams, AOD COUNSELING
• D'Andrea Ruth Williams
• Devantenae Williams

• Chiropractor in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.

Verify at the official NPI Registry.