NPIMap

Organization Active NPI

Williams Chiropractic Corp PC

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1710103957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001417A Issued in IN
Legal business name
WILLIAMS CHIROPRACTIC CORP PC
Doing business as
Care Chiropractic
Practice address
134 Executive Dr
Suite 3
Lafayette, IN 47905-4855
Phone
(765) 448-6489
Fax
(765) 448-9775
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas L Williams, D.C.NPI 1952447559
Title
Owner Doctor
Phone
(765) 448-6489

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 08001417A IN Primary

Addresses

Primary practice location

134 Executive Dr
Suite 3
Lafayette, IN 47905-4855

Mailing address

PO Box 5943
Lafayette, IN 47903-5943
Phone (765) 448-6489

Other names 1

  • Care Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111018000739 IN Part B Supplier - Clinic/Group Practice 4385816214 Receives reassigned benefits from 3 practitioners
Practice locations: Lafayette, IN

National Provider Directory

National Provider Directory

Locations

134 Executive Dr
Ste 3
Lafayette, IN 47905
Phone (765) 448-6489

15 Executive Dr
Ste 3
Lafayette, IN 47905
Phone (765) 404-4987

Practitioners & affiliated clinicians

Practitioners 3

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710103957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5943",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035943",
            "telephone_number": "765-448-6489",
            "fax_number": "765-448-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EXECUTIVE DR",
            "address_2": "SUITE 3",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054855",
            "telephone_number": "765-448-6489",
            "fax_number": "765-448-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS CHIROPRACTIC CORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "765-448-6489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.