Mattheu Owen Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003505 Issued in WA

Practice address

2607 Bridgeport Way W Ste 1D
University Place, WA 98466-4725

Phone

(253) 566-2225

NPI assigned

Apr 18, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• University Place Chiropractic Inc

  • Chiropractor
  • University Place, WA
  • NPI 1609901545
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1356567150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 1D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-566-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 1D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664725",
            "telephone_number": "253-566-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MATTHEU",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "WI4950",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "117001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "41-2160221",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory J Wiles, DC
• Briana Nicole Wiley
• Spencer Moser Willardsen, DDS
• Dawn Charisse Williams, LMFTA
• Kortnie Williams
• Thomas Michael Williams, DC
• Tyree Williams
• Bruce Allen Wilson Jr., MED
• Robert Harrison Wilson, MD
• Michael Dan Wingren, MD

• Chiropractor in University Place, WA
• Providers in University Place, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.