Individual provider Active NPI

Daniel A Williams III, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1255720058
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012618 Issued in NY
Practice address
980 Westfall Rd Ste 250
Rochester, NY 14618-2607
Phone
(585) 441-9097
Fax
(585) 648-8033
NPI assigned
Jan 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012618 NY Primary

Addresses

Primary practice location

980 Westfall Rd Ste 250
Rochester, NY 14618-2607

Mailing address

980 Westfall Rd Ste 250
Rochester, NY 14618-2607
Phone (585) 441-9097

Other practice location 1

45 Goodway Dr
Rochester, NY 14623-3029
Phone (585) 427-2180

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

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1255720058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD STE 250",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182607",
            "telephone_number": "585-441-9097",
            "fax_number": "585-648-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD STE 250",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182607",
            "telephone_number": "585-441-9097",
            "fax_number": "585-648-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Goodway Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146233029",
            "country_code": "US",
            "telephone_number": "585-427-2180",
            "fax_number": "585-427-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.