Individual provider Active NPI

William Richard Nolan Jr., DC

  • Chiropractor
  • Danvers, MA
National Provider Identifier
1316900426
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3160 Issued in MA
Practice address
15 Cherry St
Danvers, MA 01923-2880
Phone
(978) 774-4468
Fax
(978) 225-0951
NPI assigned
Apr 10, 2006
Last updated
May 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3160 MA Primary

Addresses

Primary practice location

15 Cherry St
Danvers, MA 01923-2880

Mailing address

15 Cherry St
Danvers, MA 01923-2880
Phone (978) 774-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000362 MA Practitioner - Chiropractic 8123072519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Commonwealth Ave
Suite 208B
Danvers, MA 01923-3625
Phone (978) 774-4468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3160MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rowley Chiropractic LLC Chiropractor CurrentSince Sep 23, 2021 Accepting new patients
Cherry Street Chiropractic, LLC Chiropractor CurrentSince Mar 8, 2012 Accepting new patients
Healthcare Complete, LLC Chiropractor PastSince Mar 1, 2006 Accepting new patients
Cherry Street Physical Medicine PC Past Accepting new patients
Integrated Family Wellness P.C. Chiropractor PastSince Dec 5, 2007 Accepting new patients

Locations

140 Commonwealth Ave
Ste 208B
Danvers, MA 01923
Phone (978) 774-4468

144 Turnpike Rd
Ste A6
Rowley, MA 01969
Phone (978) 948-8180

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1316900426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHERRY ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232880",
            "telephone_number": "978-774-4468",
            "fax_number": "978-225-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHERRY ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232880",
            "telephone_number": "978-774-4468",
            "fax_number": "978-225-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.