Organization Active NPI

DZM, PC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1457590267
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001097 Issued in IN
Legal business name
DZM, PC
Practice address
3819 Kentucky Ave
Indianapolis, IN 46221-2709
Phone
(317) 856-0880
Fax
(317) 856-0886
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Michael A. Williams, DCNPI 1184764433
Title
Owner
Phone
(317) 856-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001097 IN Primary

Addresses

Primary practice location

3819 Kentucky Ave
Indianapolis, IN 46221-2709

Mailing address

3819 Kentucky Ave
Indianapolis, IN 46221-2709
Phone (317) 856-0880

Other identifiers 2

IdentifierTypeStateIssuer
100069160MedicaidIN
000000180240OtherANTHEM BCBS

Other names 1

  • Williams Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111212000224 IN Part B Supplier - Clinic/Group Practice 2961677414 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

3819 Kentucky Ave
Indianapolis, IN 46221
Phone (317) 856-0880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1457590267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212709",
            "telephone_number": "317-856-0880",
            "fax_number": "317-856-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212709",
            "telephone_number": "317-856-0880",
            "fax_number": "317-856-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DZM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-856-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069160",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000180240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.