Organization Active NPI

Williams Sports Chiropractic, Inc.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1114414893
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC31325 Issued in CA
Legal business name
WILLIAMS SPORTS CHIROPRACTIC, INC.
Practice address
2001 S Barrington Ave Ste 101
Los Angeles, CA 90025-5337
Phone
(424) 209-8490
Fax
(424) 253-8208
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Dr. Dustin James Williams, DCNPI 1457686842
Title
Owner
Phone
(424) 209-8490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC31325 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave Ste 101
Los Angeles, CA 90025-5337

Mailing address

8500 Falmouth Ave Unit 3316
Playa del Rey, CA 90293-8727
Phone (310) 439-2246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1114414893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 FALMOUTH AVE UNIT 3316",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938727",
            "telephone_number": "310-439-2246",
            "fax_number": "424-253-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255337",
            "telephone_number": "424-209-8490",
            "fax_number": "424-253-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS SPORTS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-209-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC31325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.