Active NPI
Alan Charles Williams, CO
- Orthotist
- Spokane, WA
National Provider Identifier
1285674259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- PS00000120
- Practice address
- W 412 Boone
Spokane, WA 99201 - Phone
- (509) 326-6401
- Fax
- (509) 325-5986
- NPI assigned
- Jun 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | PS00000120 | WA | Primary |
| Prosthetist | 224P00000X | PS00000119 | WA |
Addresses
Primary practice location
W 412 Boone
Spokane, WA 99201
Mailing address
1202 E Blue Heron CT
Spokane, WA 99208
Phone (509) 701-3319
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8418717 | Other | WA | PIN MEDICAID |
| CO002920 | Other | ABC NUMBER | |
| 9011495 | Medicaid | WA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00000120 | WA | MD | Orthotist |
| PS00000119 | WA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285674259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 E BLUE HERON CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99208",
"telephone_number": "509-701-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W 412 BOONE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99201",
"telephone_number": "509-326-6401",
"fax_number": "509-325-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ALAN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "PS00000120",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS00000119",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN MEDICAID",
"identifier": "8418717",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC NUMBER",
"identifier": "CO002920",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9011495",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.