Jeffrey Allen Williams, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008944 Issued in IL

Practice address

2 Eagle Ctr
Ste 2
O Fallon, IL 62269-1847

Phone

(618) 628-0800

Fax

(888) 753-6282

NPI assigned

Jul 18, 2006

Last updated

Aug 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropro of Columbia, LLC

  dba ChiroPro

  • Chiropractor
  • Columbia, IL
  • NPI 1669015228
  Medicare reassignment NPD
• Chiropro of Glened LLC Dba Chiropro of Troy

  • Chiropractor
  • Troy, IL
  • NPI 1336647403
  Medicare reassignment NPD
• Chiropro of Highland, LLC

  • Chiropractor
  • Highland, IL
  • NPI 1598224909
  Medicare reassignment NPD
• Shiloh Chiropractic, LLC

  • Chiropractor
  • Shiloh, IL
  • NPI 1063595239
  Medicare reassignment NPD
• Advanced Chiropractic Care

  • Chiropractor
  • Swansea, IL
  • NPI 1457462004
  Authorized official Same address or phone
• Chiropro of St Charles Mo, LLC

  • Chiropractor
  • Saint Charles, MO
  • NPI 1306426812
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1306864137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EAGLE CTR",
            "address_2": "STE 2",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691847",
            "telephone_number": "618-628-0800",
            "fax_number": "888-753-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EAGLE CTR",
            "address_2": "STE 2",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691847",
            "telephone_number": "618-628-0800",
            "fax_number": "888-753-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi N Williams
• Camille McGann Williams, MD
• Christine Amber Williams
• Dominique Williams
• Grace Williams
• Madison Williams, BT
• Porscha Williams
• Stephanie Williams
• Amanda Lee Wilson, OTR/L
• Dominique Marie Wilson, MA, LCPC, CRC

• Chiropractor in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.