Individual provider Active NPI

Richard Paul Williams

  • Chiropractor
  • Harrison, AR
National Provider Identifier
1457478174
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3596 Issued in MN
Practice address
122 E Rush Ave
Harrison, AR 72601-4326
Phone
(870) 743-4916
Fax
(870) 280-1962
NPI assigned
Mar 26, 2007
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3596 MN Primary

Addresses

Primary practice location

122 E Rush Ave
Harrison, AR 72601-4326

Mailing address

122 E Rush Ave
Harrison, AR 72601-4326
Phone (870) 743-4916

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717000997 AR Practitioner - Chiropractic 4183618879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 E Rush Ave
Harrison, AR 72601-4326
Phone (870) 743-4916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3596MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Health Solutions PA Chiropractor CurrentSince Apr 8, 2024 Accepting new patients
Movement Health Solutions, LLC Chiropractor Current Accepting new patients
Med Cell Regenerate PastSince Dec 1, 2020 Accepting new patients

Locations

122 E Rush Ave
Harrison, AR 72601
Phone (870) 743-4916

7373 Kirkwood Ct N
Ste 110
Maple Grove, MN 55369
Phone (763) 898-3517

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1457478174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E RUSH AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014326",
            "telephone_number": "870-743-4916",
            "fax_number": "870-280-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E RUSH AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014326",
            "telephone_number": "870-743-4916",
            "fax_number": "870-280-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.