Active NPI
William L Powell Jr., D.C.
- Chiropractor
- Bay St Louis, MS
National Provider Identifier
1508981937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1066
- Practice address
- 826 Highway 90
Bay St Louis, MS 39520-2701 - Phone
- (228) 467-1018
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1066 | MS | Primary |
Addresses
Primary practice location
826 Highway 90
Bay St Louis, MS 39520-2701
Mailing address
826 Highway 90
Bay St Louis, MS 39520-2701
Phone (228) 467-1018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03675205 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006000122 | MS | Practitioner - Chiropractic | 8921067919 | Practice locations: Bay St Louis, MS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
826 Hwy 90
Bay Saint Louis, MS 39520-2701
Phone (228) 467-1018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1066 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Powell LLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Bay St Louis, MS
- NPI 1316390511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508981937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 HIGHWAY 90",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395202701",
"telephone_number": "228-467-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 HIGHWAY 90",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395202701",
"telephone_number": "228-467-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "WILLIAM",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03675205",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay St Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.