Robert J Williams, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01066

Practice address

660 2ND Ave S
Suite 2a
Ketchum, ID 83340-6663

Phone

(503) 956-1747

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1679796080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833400361",
            "telephone_number": "503-956-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 2ND AVE S",
            "address_2": "SUITE 2A",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833406663",
            "telephone_number": "503-956-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": "AC01066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Wasilewski, MD
• Julia Ann Watson, NP
• Thomas J West, D.C.
• Harald J.a. Wiedemann, M.D.
• Kyle J Williams, OD
• Alice Elizabeth Winter, PA-C
• Alyson Holmes Witmer, LPC, LAMFT
• Wood River Wellness Institute
• Jill K. Zelaya, PA-C
• Zenergy Partners LLC

• Acupuncturist in Ketchum, ID
• Providers in Ketchum, ID by specialty
• Acupuncturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.