Active NPI
William Richard McCormick, D.C.
- Sports Physician Chiropractor
- Austin, TX
National Provider Identifier
1205920774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 6458
- Practice address
- 2612-A S. Lamar Blvd
Austin, TX 78704 - Phone
- (512) 804-1100
- Fax
- (512) 804-1102
- NPI assigned
- Oct 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 6458 | TX | Primary |
| Sports Physician Chiropractor | 111NS0005X | 2219 | NC |
Addresses
Primary practice location
2612-A S. Lamar Blvd
Austin, TX 78704
Mailing address
2612-A S. Lamar Blvd
Austin, TX 78704
Phone (512) 804-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2219 | NC | MD | Sports Physician Chiropractor |
| 6458 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205920774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612-A S. LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-804-1100",
"fax_number": "512-804-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612-A S. LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-804-1100",
"fax_number": "512-804-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "WILLIAM",
"middle_name": "RICHARD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "6458",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NC",
"license": "2219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- 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.