Individual provider Active NPI

Keith Williams, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1386703445
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009347 Issued in NY
Practice address
790A Union St
A
Brooklyn, NY 11215-1307
Phone
(718) 230-4842
Fax
(718) 230-4834
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009347 NY Primary
Chiropractor 111N00000X 009347 NY

Addresses

Primary practice location

790A Union St
A
Brooklyn, NY 11215-1307

Mailing address

790A Union St
A
Brooklyn, NY 11215-1307
Phone (718) 230-4842

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

LicenseStateTypeSpecialty
009347NYMDChiropractor
X009347NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Park Physical Medicine and Rehabilitation P.C. Chiropractor PastSince Apr 13, 2020 Accepting new patients
Keith & Dean Chiropractic Care PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1386703445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790A UNION ST",
            "address_2": "A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151307",
            "telephone_number": "718-230-4842",
            "fax_number": "718-230-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790A UNION ST",
            "address_2": "A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151307",
            "telephone_number": "718-230-4842",
            "fax_number": "718-230-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009347",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.