Individual provider Active NPI

William Daniel Cullins, D.C.

  • Chiropractor
  • Hemet, CA
National Provider Identifier
1275605545
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0139910 Issued in CA
Practice address
220 S Lyon Ave
Suite C
Hemet, CA 92543-3851
Phone
(951) 925-7609
Fax
(951) 765-1744
NPI assigned
Nov 14, 2006
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0139910 CA Primary

Addresses

Primary practice location

220 S Lyon Ave
Suite C
Hemet, CA 92543-3851

Mailing address

2940 W Florida Ave
# B
Hemet, CA 92545-3655
Phone (951) 925-7609

Other identifiers 1

IdentifierTypeStateIssuer
DC0139910MedicaidCA

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

LicenseStateTypeSpecialty
DC0139910CAMDChiropractor
13991CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1275605545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 W FLORIDA AVE",
            "address_2": "# B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453655",
            "telephone_number": "951-925-7609",
            "fax_number": "951-765-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S LYON AVE",
            "address_2": "SUITE C",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433851",
            "telephone_number": "951-925-7609",
            "fax_number": "951-765-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINS",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0139910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0139910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.