Organization Active NPI

Williams Chiropractic Clinic, LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1518237445
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10007 Issued in FL
Legal business name
WILLIAMS CHIROPRACTIC CLINIC, LLC
Practice address
1786 N Mills Ave.
Orlando, FL 32803-1852
Phone
(407) 985-2880
Fax
(407) 985-2879
NPI assigned
Jan 10, 2012
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Mark Lee Williams, D.C.NPI 1841590361
Title
Doctor/Owner
Phone
40798528800

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 CH10007 FL Primary

Addresses

Primary practice location

1786 N Mills Ave.
Orlando, FL 32803-1852

Mailing address

1786 Mills Ave.
Orlando, FL 32803-1852
Phone (407) 985-2880

Other identifiers 1

IdentifierTypeStateIssuer
CH10007OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

213 S Dillard St
Ste 130
Winter Garden, FL 34787
Phone (407) 614-1644

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": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1518237445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MILLS AVE.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031852",
            "telephone_number": "407-985-2880",
            "fax_number": "407-985-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 N MILLS AVE.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031852",
            "telephone_number": "407-985-2880",
            "fax_number": "407-985-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "40798528800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH10007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.