NPIMap

Organization Active NPI

Williams Chiropractic Pain Relief Clinic PC

  • Chiropractor
  • Twin Falls, ID
National Provider Identifier
1346435856
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C-377 Issued in ID
Legal business name
WILLIAMS CHIROPRACTIC PAIN RELIEF CLINIC PC
Practice address
392 Falls Ave
Twin Falls, ID 83301-3373
Phone
(208) 734-0500
Fax
(208) 734-0501
NPI assigned
Sep 7, 2007
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Spencer Williams, DCNPI 1992863393
Title
Owner
Phone
(208) 734-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C-377 ID Primary

Addresses

Primary practice location

392 Falls Ave
Twin Falls, ID 83301-3373

Mailing address

392 Falls Ave
Twin Falls, ID 83301-3373
Phone (208) 734-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101113000044 ID Part B Supplier - Clinic/Group Practice 7416142609 Practice locations: Twin Falls, ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1346435856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013373",
            "telephone_number": "208-734-0500",
            "fax_number": "208-734-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013373",
            "telephone_number": "208-734-0500",
            "fax_number": "208-734-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CHIROPRACTIC PAIN RELIEF CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-734-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C-377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.