Charles R. Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4644 Issued in AZ

Practice address

405 S Beeline Hwy
Suite D
Payson, AZ 85541-4800

Phone

(928) 474-0442

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154463644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S BEELINE HWY",
            "address_2": "SUITE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414800",
            "telephone_number": "928-474-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S BEELINE HWY",
            "address_2": "SUITE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414800",
            "telephone_number": "928-474-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen M. Waters
• Chandra Wattleworth
• Karl Watts
• Mark Westberg, PHARM D.
• Jaegar Dean White, MD
• Mark D. Williams, MD
• Leroy Wombold, DO
• Danielle Thomas Woods, LPC
• Kristin Ann Woods, FNP
• Victoria L Woods, LCSW

• Chiropractor in Payson, AZ
• Providers in Payson, AZ by specialty
• Chiropractor in Arizona

• 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.

Verify at the official NPI Registry.