Individual provider Active NPI

William Dewaine Elliott, D. C.

  • Chiropractor
  • Vestavia, AL
National Provider Identifier
1508952169
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1010 Issued in AL
Practice address
3153 Cahaba Heights Rd
Vestavia, AL 35243-5246
Phone
(205) 967-0280
Fax
(205) 967-0408
NPI assigned
Oct 4, 2006
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1010 AL Primary

Addresses

Primary practice location

3153 Cahaba Heights Rd
Vestavia, AL 35243-5246

Mailing address

3153 Cahaba Heights Rd
Vestavia, AL 35243-5246
Phone (205) 967-0280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120619000234 AL Practitioner - Chiropractic 8729242938 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1010ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pillar Chiropractic and Rehab, LLC Chiropractor CurrentSince Jun 17, 2023 Accepting new patients
Adamsville Chiropractic Center Inc Chiropractor Current Accepting new patients
Adamsville Chiropractic Center Inc Chiropractor CurrentSince May 9, 2003 Accepting new patients
Russell Associates, Inc. Chiropractor CurrentSince Mar 18, 2012 Accepting new patients

Locations

313 Fieldstown Rd
Ste 103
Gardendale, AL 35071
Phone (205) 537-7463

5290 Old Springville Rd
Ste C
Pinson, AL 35126
Phone (205) 854-9988

3153 Cahaba Heights Rd
Vestavia, AL 35243
Phone (205) 537-7463

Organizations & group practices 4

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1508952169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 CAHABA HEIGHTS RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435246",
            "telephone_number": "205-967-0280",
            "fax_number": "205-967-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 CAHABA HEIGHTS RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435246",
            "telephone_number": "205-967-0280",
            "fax_number": "205-967-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "WILLIAM",
        "middle_name": "DEWAINE",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.