Organization Active NPI

Theresa M Williams

  • Chiropractor
  • Macomb, MI
National Provider Identifier
1215190061
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005106 Issued in MI
Legal business name
THERESA M WILLIAMS
Doing business as
Williams Chiropractic Center
Practice address
23035 21 Mile Rd
Macomb, MI 48042-5100
Phone
(586) 949-5511
Fax
(586) 949-8774
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Theresa Marie Williams, D.C.NPI 1851301394
Title
Chiropractor/Owner
Phone
(586) 949-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005106 MI Primary

Addresses

Primary practice location

23035 21 Mile Rd
Macomb, MI 48042-5100

Mailing address

23035 21 Mile Rd
Macomb, MI 48042-5100
Phone (586) 949-5511

Other names 1

  • Williams Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

23035 21 Mile Rd
Macomb, MI 48042
Phone (313) 949-5511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1215190061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23035 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425100",
            "telephone_number": "586-949-5511",
            "fax_number": "586-949-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23035 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480425100",
            "telephone_number": "586-949-5511",
            "fax_number": "586-949-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "586-949-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.