Individual provider Active NPI

Rodney Williams, D.C.

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1144230798
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1568 Issued in AR
Practice address
1200 John Barrow Rd
Ste. 112
Little Rock, AR 72205-6500
Phone
(501) 227-9766
Fax
(501) 227-7290
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1568 AR Primary

Addresses

Primary practice location

1200 John Barrow Rd
Ste. 112
Little Rock, AR 72205-6500

Mailing address

8703 Kanis Rd
Little Rock, AR 72204-2323
Phone (501) 227-9766

Other identifiers 3

IdentifierTypeStateIssuer
5W488OtherARBLUE CROSS BLUE SHIELD
7825248OtherARAETNA
146751718MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000645 AR Practitioner - Chiropractic 9133020241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 John Barrow Rd
Suite 112
Little Rock, AR 72205-6528
Phone (501) 227-9766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1568ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Chiropractic Care Chiropractor CurrentSince Mar 23, 2012 Accepting new patients
Holistic Touch Medical Centers PLLC Chiropractor PastSince Mar 23, 2012 Accepting new patients

Locations

8703 Kanis Rd
Little Rock, AR 72204
Phone (501) 227-9766

1200 John Barrow Rd
Ste 112
Little Rock, AR 72205
Phone (501) 227-9766

Organizations & group practices 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1144230798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042323",
            "telephone_number": "501-227-9766",
            "fax_number": "501-227-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JOHN BARROW RD",
            "address_2": "STE. 112",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056500",
            "telephone_number": "501-227-9766",
            "fax_number": "501-227-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5W488",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7825248",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146751718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.