Blake Aaron Williams, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007064 Issued in IA

Practice address

1211 12TH Ave SE Ste 102
Dyersville, IA 52040-2412

Phone

(319) 321-4530

NPI assigned

Mar 6, 2008

Last updated

Sep 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Williams Chiropractic, PLLC

  • Chiropractor
  • Dyersville, IA
  • NPI 1538493077
  Medicare reassignment Authorized official
• Merritt Family Chiropractic, P.C.

  • Chiropractor
  • Cascade, IA
  • NPI 1992916779
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1386814267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 RIVER BEND DR.",
            "city": "CASCADE",
            "state": "IA",
            "postal_code": "52033",
            "telephone_number": "319-321-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 12TH AVE SE STE 102",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402412",
            "telephone_number": "319-321-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BLAKE",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Timp, DPT
• Robert Stanley Tomas, M.D.
• Jack Allen Tressel, DC
• Jason W Wall, DC
• Williams Chiropractic, PLLC
• Woodland Eye Clinic, PC (The Woodland Eye Clinic)

• Chiropractor in Dyersville, IA
• Providers in Dyersville, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.