NPIMap

Individual provider Active NPI

Scott Williams, D.C.

  • Chiropractor
  • Santa Fe, NM
National Provider Identifier
1124457064
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1723 Issued in NM
Practice address
1925 Aspen Dr
Suite 803-B
Santa Fe, NM 87505-5459
Phone
(505) 780-8617
Fax
(505) 780-8617
NPI assigned
Nov 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1723 NM Primary

Addresses

Primary practice location

1925 Aspen Dr
Suite 803-B
Santa Fe, NM 87505-5459

Mailing address

1925 Aspen Dr
Suite 803-B
Santa Fe, NM 87505-5459
Phone (505) 780-8617

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

State licenses

LicenseStateTypeSpecialty
1723NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Spine and Sports Medicine, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1124457064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "SUITE 803-B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-780-8617",
            "fax_number": "505-780-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "SUITE 803-B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-780-8617",
            "fax_number": "505-780-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.