Active NPI
Jeffery Scott Williams, D.C.
- Chiropractor
- Amarillo, TX
National Provider Identifier
1356365258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7359
- Practice address
- 3501 W 45TH Ave
Suite T
Amarillo, TX 79109-5679 - Phone
- (806) 355-3000
- Fax
- (806) 418-2305
- NPI assigned
- Jul 26, 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 | 7359 | TX | Primary |
Addresses
Primary practice location
3501 W 45TH Ave
Suite T
Amarillo, TX 79109-5679
Mailing address
2045 S Hughes St
Amarillo, TX 79109-2265
Phone (806) 364-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3501 SW 45TH Ave
Suite T
Amarillo, TX 79109-5676
Phone (806) 355-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7359 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Stone Integrated Medical PLLC | Current | Accepting new patients | |
| Apacc Inc | Chiropractor | Current | Accepting new patients |
Locations
3501 SW 45th Ave
Ste T
Amarillo, TX 79109
Phone (806) 355-3000
Organizations & group practices 2
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
- Amarillo, TX
- NPI 1437335072
-
- General Practice Physician
- Amarillo, TX
- NPI 1487222683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1356365258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 S HUGHES ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791092265",
"telephone_number": "806-364-9000",
"fax_number": "806-364-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 W 45TH AVE",
"address_2": "SUITE T",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791095679",
"telephone_number": "806-355-3000",
"fax_number": "806-418-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JEFFERY",
"middle_name": "SCOTT",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "7359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.