NPIMap

Organization Active NPI

Kurt S. Williams

  • Chiropractor
  • Centralia, IL
National Provider Identifier
1306053830
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004395 Issued in IL
Legal business name
KURT S. WILLIAMS
Doing business as
DBA Williams Chiropractic Office
Practice address
315 N Elm St
Centralia, IL 62801-2954
Phone
(618) 532-7600
Fax
(618) 532-8667
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Dr. Kurt S. Williams, D.C.
Title
Owner
Phone
(618) 532-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038004395 IL Primary

Addresses

Primary practice location

315 N Elm St
Centralia, IL 62801-2954

Mailing address

315 N Elm St
PO Box 496
Centralia, IL 62801-2954
Phone (618) 532-7600

Other names 1

  • DBA Williams Chiropractic Office Doing business as

National Provider Directory

National Provider Directory

Locations

315 N Elm St
Centralia, IL 62801
Phone (618) 532-7600

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1306053830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N ELM ST",
            "address_2": "PO BOX 496",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628012954",
            "telephone_number": "618-532-7600",
            "fax_number": "618-532-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N ELM ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628012954",
            "telephone_number": "618-532-7600",
            "fax_number": "618-532-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT S. WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-532-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Williams Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.