Individual provider Active NPI

Bill Jay Stillwell, DC

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1477739183
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002837 Issued in WA
Practice address
4537 Yakima Ave
Tacoma, WA 98418-4929
Phone
(253) 475-3334
Fax
(253) 475-0875
NPI assigned
Jan 11, 2008
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002837 WA Primary

Addresses

Primary practice location

4537 Yakima Ave
Tacoma, WA 98418-4929

Mailing address

27020 Pacific Hwy S
Ste B
Kent, WA 98032-6951
Phone (253) 475-3334

Other names 1

  • Dr. William Jay Stillwell Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000467 WA Practitioner - Chiropractic 1355360215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2837WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwell Family Chiropractic Chiropractor CurrentSince Jan 2, 2012 Accepting new patients
Brent Finnigan LMP Past Accepting new patients
Still Well Chiropractic Clinic Inc Chiropractor Past Accepting new patients

Locations

27020 Pacific Hwy S
Ste B
Kent, WA 98032
Phone (253) 468-7879

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1477739183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27020 PACIFIC HWY S",
            "address_2": "STE B",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326951",
            "telephone_number": "253-475-3334",
            "fax_number": "253-475-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984184929",
            "telephone_number": "253-475-3334",
            "fax_number": "253-475-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "BILL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "STILLWELL",
            "middle_name": "JAY",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.