Active NPI
DZM, PC
- Chiropractor
- Indianapolis, IN
National Provider Identifier
1457590267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001097
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael A. Williams, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069160 | Medicaid | IN | |
| 000000180240 | Other | ANTHEM BCBS |
Other names 1
- Williams Chiropractic Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Acupuncturist
- Indianapolis, IN
- NPI 1184764433
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.