Active Health Services

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6026 Issued in TX

Legal business name

ACTIVE HEALTH SERVICES

Practice address

1717 Main St Ste 5640
Dallas, TX 75201-7348

Phone

(241) 220-9117

Fax

(214) 220-0410

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Fleming Williams, D CNPI 1619996428

Title

Chiropractor Owner

Phone

(214) 220-3177

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael F Williams, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1619996428
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164642765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1844",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752211844",
            "telephone_number": "214-220-9177",
            "fax_number": "214-220-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5640",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017348",
            "telephone_number": "241-220-9117",
            "fax_number": "214-220-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "CHIROPRACTOR        OWNER",
        "authorized_official_telephone_number": "214-220-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6026",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.