Individual provider Active NPI

Cameron Jacob Williams, DC

  • Chiropractor
  • Colleyville, TX
National Provider Identifier
1528745023
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16344 Issued in TX
Practice address
8090 Precinct Line Rd Ste 101
Colleyville, TX 76034-7677
Phone
(817) 500-9494
NPI assigned
Jun 28, 2023
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16344 TX Primary

Addresses

Primary practice location

8090 Precinct Line Rd Ste 101
Colleyville, TX 76034-7677

Mailing address

3925 Diamond Loch E
North Richland Hills, TX 76180-8717
Phone (817) 705-7240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320004193 CO Practitioner - Chiropractic 4688011075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16344TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tor Wellness Two Chiropractor CurrentSince Feb 4, 2024 Accepting new patients
Radiant Chiropractic PLLC Chiropractor CurrentSince Sep 28, 2025 Accepting new patients

Locations

1722 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 358-7422

8090 Precinct Line Rd
Ste 101
Colleyville, TX 76034
Phone (469) 667-4096

Organizations & group practices 2

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1528745023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 DIAMOND LOCH E",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808717",
            "telephone_number": "817-705-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 PRECINCT LINE RD STE 101",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347677",
            "telephone_number": "817-500-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAMERON",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.