Active NPI
William J Nelson, D.C.
- Chiropractor
- Bismarck, ND
National Provider Identifier
1174597272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 723
- Practice address
- 1051 E Interstate Ave
Bismarck, ND 58503-0551 - Phone
- (701) 222-8322
- Fax
- (701) 222-8397
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 723 | ND | Primary |
Addresses
Primary practice location
1051 E Interstate Ave
Bismarck, ND 58503-0551
Mailing address
1051 E Interstate Ave
Bismarck, ND 58503-0551
Phone (701) 222-8322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12218 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2304 Clydesdale Dr
Bismarck, ND 58503-0947
Phone (701) 222-8322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Nelson, D.C., P.C. | Chiropractor | Current | Accepting new patients |
| Precision Eyez, PC | Past | Accepting new patients |
Locations
1033 Basin Ave
Bismarck, ND 58504
Phone (701) 223-6613
1051 E Interstate Ave
Bismarck, ND 58503
Phone (701) 222-8322
2304 Clydesdale Dr
Bismarck, ND 58503
Phone (701) 222-8322
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.
-
- Chiropractor
- Bismarck, ND
- NPI 1134378946
-
- Optician
- Bismarck, ND
- NPI 1841307766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1174597272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 E INTERSTATE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030551",
"telephone_number": "701-222-8322",
"fax_number": "701-222-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 E INTERSTATE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030551",
"telephone_number": "701-222-8322",
"fax_number": "701-222-8397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12218",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.