Jeffrey Max Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1473 Issued in ID

Practice address

151 N 4TH Ave
Ste a
Pocatello, ID 83201-6300

Phone

(208) 637-2225

Fax

(208) 258-7389

NPI assigned

Feb 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jeff Williams Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Streamline Chiropractic PLLC

  • Chiropractor
  • Chubbuck, ID
  • NPI 1679854491
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1659678456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N 4TH AVE",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016300",
            "telephone_number": "208-637-2225",
            "fax_number": "208-258-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N 4TH AVE",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016300",
            "telephone_number": "208-637-2225",
            "fax_number": "208-258-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFFREY",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "ID",
            "license": "CHIA-1473",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679854491",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "WILLIAMS",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chelsey Joy Williams, LMT
• Cheyanne Jane Williams, PHARMD
• David Tim Williams, M.S.
• Duane J Williams, DMD
• James Ellis Williams II, M.S., CCC-SLP
• Kara Williams
• Marcia Williams, SLP
• Paul Scott Williams, DDS
• Sy Williams, L.C.S.W.
• Matthew E Williamson, D.O.

• Chiropractor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.