Organization Active NPI

John R. McWilliams, D.C., P.C.

  • Chiropractor
  • Purcellville, VA
National Provider Identifier
1508162884
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000822 Issued in VA
Legal business name
JOHN R. MCWILLIAMS, D.C., P.C.
Doing business as
Purcellville Chiropractic Center
Practice address
101 S Maple Ave
Suite F
Purcellville, VA 20132-3473
Phone
(540) 338-1663
Fax
(540) 338-1668
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. John Robert McWilliams Jr., D.C.NPI 1083702112
Title
President
Phone
(540) 338-1663

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 0104000822 VA Primary

Addresses

Primary practice location

101 S Maple Ave
Suite F
Purcellville, VA 20132-3473

Mailing address

PO Box 2292
Purcellville, VA 20134-2292
Phone (540) 228-1663

Other names 1

  • Purcellville Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191026000045 VA Part B Supplier - Clinic/Group Practice 2860724796 Receives reassigned benefits from 1 practitioner
Practice locations: Purcellville, VA

National Provider Directory

National Provider Directory

Locations

101 S Maple Ave
Ste F
Purcellville, VA 20132
Phone (540) 338-1663

17337 Pickwick Dr
Purcellville, VA 20132
Phone (540) 930-0674

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": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1508162884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2292",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201342292",
            "telephone_number": "540-228-1663",
            "fax_number": "540-338-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAPLE AVE",
            "address_2": "SUITE F",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323473",
            "telephone_number": "540-338-1663",
            "fax_number": "540-338-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. MCWILLIAMS, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-338-1663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purcellville Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.