Organization Active NPI

Williams Chiropractic Health and Wellness Center Inc

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1578843579
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31525 Issued in CA
Legal business name
WILLIAMS CHIROPRACTIC HEALTH AND WELLNESS CENTER INC
Practice address
44820 10TH St W
Lancaster, CA 93534-2312
Phone
(661) 940-6302
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. Jeffrey Earl Williams, D.C.
Title
President
Phone
(661) 940-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC31525 CA Primary

Addresses

Primary practice location

44820 10TH St W
Lancaster, CA 93534-2312

Mailing address

44820 10TH St W
Lancaster, CA 93534-2312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110920000435 CA Part B Supplier - Clinic/Group Practice 3072784271 Receives reassigned benefits from 1 practitioner
Practice locations: Glendora, CA

National Provider Directory

National Provider Directory

Locations

2220 E Route 66
Ste 225
Glendora, CA 91740
Phone (626) 914-5881

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1578843579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44820 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44820 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342312",
            "telephone_number": "661-940-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CHIROPRACTIC HEALTH AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-940-6302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.