Individual provider Active NPI

David Aaron Williamson, D.C.

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1720025927
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009347 Issued in IL
Practice address
40W201 Wasco Rd Ste Ab
St Charles, IL 60175-8509
Phone
(630) 377-7788
Fax
(630) 377-7802
NPI assigned
May 31, 2006
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009347 IL Primary

Addresses

Primary practice location

40W201 Wasco Rd Ste Ab
St Charles, IL 60175-8509

Mailing address

40W201 Wasco Rd
Ste Ab
St Charles, IL 60175-8509
Phone (847) 717-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038-009347ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apmstc LLC Chiropractor CurrentSince Jul 21, 2024 Accepting new patients
Advanced Physical Medicine & Rehabilitation LTD Chiropractor PastSince Sep 29, 2024 Accepting new patients
French Medical Group, LTD Chiropractor Past Accepting new patients

Locations

40W201 Wasco Rd
Ste Ab
St Charles, IL 60175
Phone (630) 377-7788

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1720025927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W201 WASCO RD",
            "address_2": "STE AB",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758509",
            "telephone_number": "847-717-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W201 WASCO RD STE AB",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758509",
            "telephone_number": "630-377-7788",
            "fax_number": "630-377-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "DAVID",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.