Jimmie Douglas Williams III, D.C., P.A.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0103566 Issued in KS

Practice address

14101 S Mur Len Rd
Olathe, KS 66062-1873

Phone

(913) 764-9077

Fax

(913) 764-8979

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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 KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Jimmie D Williams III DC PA

  dba Williams Chiropractic Clinic

  • Chiropractor
  • Olathe, KS
  • NPI 1437187580
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1326070483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 S MUR LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621873",
            "telephone_number": "913-764-9077",
            "fax_number": "913-764-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 S MUR LEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621873",
            "telephone_number": "913-764-9077",
            "fax_number": "913-764-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JIMMIE",
        "middle_name": "DOUGLAS",
        "name_suffix": "III",
        "credential": "D.C., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Paul Williams, MD
• Crystal D'Shay Williams, LPC
• Gracie May Williams
• James Kurt Williams
• Jennifer Lynn Williams
• Todd Williams, D.C.
• Yamila Williams, DNP
• Scott Lee Williamson, MD
• Rebecca L Willis-Nichols, LCSW
• Tracy Wills

• Chiropractor in Olathe, KS
• Providers in Olathe, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.