Individual provider Active NPI

William Douglas Parks, DC

  • Chiropractor
  • Monroe, MI
National Provider Identifier
1720007636
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004342 Issued in MI
Practice address
1331 N Telegraph Rd
Monroe, MI 48162-3374
Phone
(734) 242-6200
Fax
(734) 242-3441
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004342 MI Primary

Addresses

Primary practice location

1331 N Telegraph Rd
Monroe, MI 48162-3374

Mailing address

1331 N Telegraph Rd
Monroe, MI 48162-3374
Phone (734) 242-6200

Other identifiers 2

IdentifierTypeStateIssuer
1783697MedicaidMI
950E85035OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000478 MI Practitioner - Chiropractic 4688682602 Reassigns benefits to 1 organization
Practice locations: Monroe, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1058 N Monroe St
Monroe, MI 48162-3113
Phone (734) 242-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301004342MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parks Chiropractic Health Center Chiropractor CurrentSince Jul 2, 2017 Accepting new patients

Locations

1058 N Monroe St
#H
Monroe, MI 48162
Phone (734) 242-6200

1058 N Monroe St
Monroe, MI 48162
Phone (734) 242-6200

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720007636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623374",
            "telephone_number": "734-242-6200",
            "fax_number": "734-242-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623374",
            "telephone_number": "734-242-6200",
            "fax_number": "734-242-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "WILLIAM",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1783697",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950E85035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.