Active NPI
Thomas Michael Williams, DC
- Chiropractor
- University Place, WA
National Provider Identifier
1114143922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034392
- Practice address
- 2607 Bridgeport Way W Ste 1D
University Place, WA 98466-4725 - Phone
- (253) 564-6747
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 | CH00034392 | WA | Primary |
Addresses
Primary practice location
2607 Bridgeport Way W Ste 1D
University Place, WA 98466-4725
Mailing address
2607 Bridgeport Way W Ste 1D
University Place, WA 98466-4725
Phone (253) 564-6747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0187492 | Other | WA | LABOR AND INSDUSTRIES |
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 |
|---|---|---|---|
| CH00034392 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Place Chiropractic Inc | Chiropractor | 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.
-
dba University Place Chiropractic
- Chiropractor
- University Place, WA
- NPI 1609901545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114143922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 BRIDGEPORT WAY W STE 1D",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664725",
"telephone_number": "253-564-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 BRIDGEPORT WAY W STE 1D",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664725",
"telephone_number": "253-564-6747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INSDUSTRIES",
"identifier": "0187492",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.