Kyle Matthew Williams, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61484920 Issued in WA

Practice address

105 N Parkway Ave
Battle Ground, WA 98604-9129

Phone

(360) 666-6001

Fax

(360) 666-6002

NPI assigned

Jan 12, 2024

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Opdahl Chiropractic Office Inc.Group PAC ID 7810973104, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Opdahl Chiropractic Office Inc.

  • Chiropractor
  • Battle Ground, WA
  • NPI 1134315781
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1124899653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N PARKWAY AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049129",
            "telephone_number": "360-666-6001",
            "fax_number": "360-666-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PARKWAY AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049129",
            "telephone_number": "360-666-6001",
            "fax_number": "360-666-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KYLE",
        "middle_name": "MATTHEW",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61484920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney L. White, DO
• Brittany Renee Wilhelm, LMP
• Rebecca Wilkinson, FNP-C, APRN, RN
• Hollie Kristin Williams, RPH
• Jolene Williams
• Samantha Williams
• Cory Mick Williamson, RN
• Brett Windsor, PT
• Winfield Counseling LLC
• Katelyn Alanna Wisdom, PHARMD

• Chiropractor in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.