Organization Active NPI

McWilliams Chiropractic Clinic Inc

  • Chiropractor
  • Bellevue, OH
National Provider Identifier
1487667895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1800 Issued in OH
Legal business name
MCWILLIAMS CHIROPRACTIC CLINIC INC
Practice address
1500 Seneca Industrial Pkwy
Bellevue, OH 44811-9049
Phone
(419) 483-0779
Fax
(419) 483-0779
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Alan McWilliams, DCNPI 1699729467
Title
Chiropractor Owner
Phone
(419) 483-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1800 OH Primary

Addresses

Primary practice location

1500 Seneca Industrial Pkwy
Bellevue, OH 44811-9049

Mailing address

1500 Seneca Industrial Pkwy
Bellevue, OH 44811-9049
Phone (419) 483-0779

Other identifiers 1

IdentifierTypeStateIssuer
0868324MedicaidOH

National Provider Directory

National Provider Directory

Locations

1500 Seneca Industrial Pkwy W
Bellevue, OH 44811
Phone (419) 483-0779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487667895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SENECA INDUSTRIAL PKWY",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119049",
            "telephone_number": "419-483-0779",
            "fax_number": "419-483-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SENECA INDUSTRIAL PKWY",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119049",
            "telephone_number": "419-483-0779",
            "fax_number": "419-483-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCWILLIAMS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "419-483-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0868324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.