Individual provider Active NPI

William Jospeh Cullen, DC

  • Chiropractor
  • Rockville, MD
National Provider Identifier
1669033049
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04013 Issued in MD
Practice address
451 Hungerford Dr Ste 510
Rockville, MD 20850-5103
Phone
(301) 738-1148
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S04013 MD Primary

Addresses

Primary practice location

451 Hungerford Dr Ste 510
Rockville, MD 20850-5103

Mailing address

451 Hungerford Dr Ste 510
Rockville, MD 20850-5103
Phone (301) 738-1148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201231001257 DC Practitioner - Chiropractic 2163835547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Chiropractic and Physical TherapyGroup PAC ID 6800294554, 2 clinicians

Practice addresses (Care Compare)

451 Hungerford Dr
Suite 510
Rockville, MD 20850-5103
Phone (301) 739-1148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S04013MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Chiropractic and Physical Therapy Chiropractor CurrentSince Jul 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

451 Hungerford Dr
Ste 510
Rockville, MD 20850
Phone (301) 738-1148

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1669033049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 510",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505103",
            "telephone_number": "301-738-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 510",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505103",
            "telephone_number": "301-738-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "WILLIAM",
        "middle_name": "JOSPEH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.