Williamson Chiropractic PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009498 Issued in MI

Legal business name

WILLIAMSON CHIROPRACTIC PLC

Practice address

912 E Grand River Ave
Portland, MI 48875-1664

Phone

(517) 647-7585

Fax

(517) 647-2666

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jason Williamson, DCNPI 1558512087

Title

Chiropractor

Phone

(517) 647-7585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Jason Williamson, DC

  • Chiropractor
  • Portland, MI
  • NPI 1558512087
  Medicare reassignment NPD Authorized official
• Stephanie Marie Ratliff-Putney, LMT

  • Massage Therapist
  • Portland, MI
  • NPI 1770395667
  NPD (past)
• Russell W Willemin, D.C.

  • Chiropractor
  • Portland, MI
  • NPI 1033156369
  NPD (past)

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1659774396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751664",
            "telephone_number": "517-647-7585",
            "fax_number": "517-647-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751664",
            "telephone_number": "517-647-7585",
            "fax_number": "517-647-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "517-647-7585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny L Thompson, NP
• Tom'S Pharmacy LLC
• Tru Dental Michigan PC
• Two Rivers Counseling&Consulting, P.C.
• Russell W Willemin, D.C.
• Jason Williamson, DC
• Kristy Ann Withrow
• Timothy Marcus-Stephen Wohlfert

• All providers in Portland, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.