Kurt S Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038004395 Issued in IL

Practice address

315 North Elm
Centralia, IL 62801

Phone

(618) 532-7600

Fax

(618) 532-8667

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1979

Medicare assignment

May accept Medicare assignment

Group practices

Williams Chiropractic Office PLLCGroup PAC ID 1557848231, 3 clinicians

Berger Chiropractic Office LLCGroup PAC ID 9335474055, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Berger Chiropractic Office LLC

  • Chiropractor
  • Centralia, IL
  • NPI 1326512393
  Medicare reassignment Care Compare group NPD
• Williams Chiropractic Office PLLC

  • Chiropractor
  • Centralia, IL
  • NPI 1619838281
  Medicare reassignment Care Compare group NPD
• Kurt S. Williams

  dba DBA Williams Chiropractic Office

  • Chiropractor
  • Centralia, IL
  • NPI 1306053830
  Authorized official Same address or phone

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1114099629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496",
            "address_2": "315 NORTH ELM",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-7600",
            "fax_number": "618-532-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NORTH ELM",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-7600",
            "fax_number": "618-532-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KURT",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "426286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6119593",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "350031038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennah White
• Shae N Whitelow, BS, CADC
• Brooke Nicole Whittington, SLP
• Kimberly Wieter, RPH
• Williams Chiropractic Office PLLC
• Leah Williams
• Leslie Ann Williams, FNP
• Mark E Williams, DC
• Matthew Williams, DC
• Willow Grove SCH Dist 46

• Chiropractor in Centralia, IL
• Providers in Centralia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.