Organization Active NPI

Hank Williams Chiropractic Corp

  • Nutrition Chiropractor
  • Laguna Beach, CA
National Provider Identifier
1649456294
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC29331 Issued in CA
Legal business name
HANK WILLIAMS CHIROPRACTIC CORP
Practice address
177 Myrtle St Ste a
Laguna Beach, CA 92651-1540
Phone
(949) 376-7895
Fax
(949) 376-8196
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Hank Williams, DCNPI 1295939700
Title
Owner
Phone
(949) 376-7895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X DC29331 CA Primary

Addresses

Primary practice location

177 Myrtle St Ste a
Laguna Beach, CA 92651-1540

Mailing address

177 Myrtle St Ste a
Laguna Beach, CA 92651-1540
Phone (949) 376-7895

Other names 1

  • North Laguna Beach Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

177 Myrtle St
Ste A
Laguna Beach, CA 92651
Phone (949) 376-7895

Practitioners & affiliated clinicians

Practitioners 1

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": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1649456294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MYRTLE ST STE A",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511540",
            "telephone_number": "949-376-7895",
            "fax_number": "949-376-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MYRTLE ST STE A",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511540",
            "telephone_number": "949-376-7895",
            "fax_number": "949-376-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANK WILLIAMS CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-376-7895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC29331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Laguna Beach Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.