Active NPI
William Ambrose Christianson, D.C.
- Chiropractor
- Cedar Rapids, IA
National Provider Identifier
1215021746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05830
- Practice address
- 1756 1St Ave NE
Cedar Rapids, IA 52402 - Phone
- (319) 399-1285
- Fax
- (319) 399-1285
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 | A05830 | IA | Primary |
Addresses
Primary practice location
1756 1St Ave NE
Cedar Rapids, IA 52402
Mailing address
1756 1St Ave NE
Cedar Rapids, IA 52402-5490
Phone (319) 399-1285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0226324 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1756 1St Ave NE
Cedar Rapids, IA 52402-5490
Phone (319) 399-1285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A05830 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William a Christianson DC PC | Chiropractor | Current | Accepting new patients |
Locations
1756 1st Ave NE
Cedar Rapids, IA 52402
Phone (319) 399-1285
Interoperability endpoints
- william.christianson.2@19293.direct.athenahealth.com
Organizations & group practices 1
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
- Cedar Rapids, IA
- NPI 1720378854
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": "1466553600000",
"number": "1215021746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1756 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025490",
"telephone_number": "319-399-1285",
"fax_number": "319-399-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1756 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52402",
"telephone_number": "319-399-1285",
"fax_number": "319-399-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSON",
"first_name": "WILLIAM",
"middle_name": "AMBROSE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0226324",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.