Active NPI
James A Williams, DC
- Chiropractor
- Wauseon, OH
National Provider Identifier
1336155837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1656
- Practice address
- 1485 N Shoop Ave
Wauseon, OH 43567 - Phone
- (419) 335-2225
- Fax
- (603) 908-5670
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1656 | OH | Primary |
Addresses
Primary practice location
1485 N Shoop Ave
Wauseon, OH 43567
Mailing address
1485 N Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0799284 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101018000317 | OH | Practitioner - Chiropractic | 7214051127 | Practice locations: Wauseon, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1485 N Shoop Ave
Wauseon, OH 43567-1824
Phone (419) 335-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1656 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Wauseon, OH
- NPI 1477738995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1336155837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 N SHOOP AVE",
"city": "WAUSEON",
"state": "OH",
"postal_code": "43567",
"telephone_number": "419-335-2225",
"fax_number": "603-908-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 N SHOOP AVE",
"city": "WAUSEON",
"state": "OH",
"postal_code": "43567",
"telephone_number": "419-335-2225",
"fax_number": "603-908-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0799284",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauseon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.