Active NPI
William H Edwards, D.C.
- Chiropractor
- Owensboro, KY
National Provider Identifier
1508838798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4182
- Practice address
- 4321 Gate Way
Owensboro, KY 42303-2500 - Phone
- (270) 685-4200
- Fax
- (270) 926-6697
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4182 | KY | Primary |
Addresses
Primary practice location
4321 Gate Way
Owensboro, KY 42303-2500
Mailing address
4321 Gate Way
Owensboro, KY 42303-2500
Phone (270) 685-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000042472 | Other | KY | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4321 Gate Way
Owensboro, KY 42303-2500
Phone (270) 685-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4182 | KY | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Clinic/Center
- Owensboro, KY
- NPI 1669507661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1508838798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 GATE WAY",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032500",
"telephone_number": "270-685-4200",
"fax_number": "270-926-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 GATE WAY",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032500",
"telephone_number": "270-685-4200",
"fax_number": "270-926-6697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "WILLIAM",
"middle_name": "H",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000042472",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.