Organization Active NPI

Williams Chiropractic Care

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1669738076
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1568 Issued in AR
Legal business name
WILLIAMS CHIROPRACTIC CARE
Practice address
8703 Kanis Rd
Little Rock, AR 72204-2323
Phone
(501) 227-9766
Fax
(501) 227-7290
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Dr. Rodney Williams, D.C.NPI 1144230798
Title
President
Phone
(501) 227-9766

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1568 AR Primary

Addresses

Primary practice location

8703 Kanis Rd
Little Rock, AR 72204-2323

Mailing address

1200 Barrow Rd
Suite 112
Little Rock, AR 72205-6500
Phone (501) 227-9766

Other identifiers 1

IdentifierTypeStateIssuer
146751718MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000557 AR Part B Supplier - Clinic/Group Practice 7012170111 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

8703 Kanis Rd
Little Rock, AR 72204
Phone (501) 227-9766

1200 John Barrow Rd
Ste 112
Little Rock, AR 72205
Phone (501) 227-9766

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": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1669738076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BARROW RD",
            "address_2": "SUITE 112",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056500",
            "telephone_number": "501-227-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042323",
            "telephone_number": "501-227-9766",
            "fax_number": "501-227-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CHIROPRACTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-227-9766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146751718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.