Individual provider Active NPI

John Sheldon Williams IV, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1447259130
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04623 Issued in AZ
Practice address
2606 E Grant Rd
Tucson, AZ 85716-2714
Phone
(520) 325-0161
Fax
(520) 325-0914
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04623 AZ Primary

Addresses

Primary practice location

2606 E Grant Rd
Tucson, AZ 85716-2714

Mailing address

2606 E Grant Rd
Tucson, AZ 85716-2714
Phone (520) 325-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000056 AZ Practitioner - Chiropractic 1759309339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2602 E Grant Rd
Tucson, AZ 85716-2714
Phone (520) 849-5022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04623AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John S. Williams D.C. P.C. Chiropractor CurrentSince Sep 23, 2010 Accepting new patients

Locations

2602 E Grant Rd
Tucson, AZ 85716
Phone (520) 849-5022

2606 E Grant Rd
Tucson, AZ 85716
Phone (520) 325-0161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1447259130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162714",
            "telephone_number": "520-325-0161",
            "fax_number": "520-325-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162714",
            "telephone_number": "520-325-0161",
            "fax_number": "520-325-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "SHELDON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "04623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.