Active NPI
Terry Wade Williams, DC
- Chiropractor
- Fort Lupton, CO
National Provider Identifier
1366620775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2442
- Practice address
- 331 Park Ave
Fort Lupton, CO 80621 - Phone
- (303) 857-6633
- Fax
- (303) 857-4992
- NPI assigned
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 2442 | CO | Primary |
Addresses
Primary practice location
331 Park Ave
Fort Lupton, CO 80621
Mailing address
331 Park Ave
Fort Lupton, CO 80621
Phone (303) 857-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2442 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1366620775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 PARK AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "80621",
"telephone_number": "303-857-6633",
"fax_number": "303-857-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 PARK AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "80621",
"telephone_number": "303-857-6633",
"fax_number": "303-857-4992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TERRY",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "2442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lupton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.