Active NPI
Bryan Jason Williams, D.C.
- Chiropractor
- Sioux Falls, SD
National Provider Identifier
1730262247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1073
- Practice address
- 5109 S. Cliff Ave.
Suite 500
Sioux Falls, SD 57108 - Phone
- (605) 334-0900
- Fax
- (605) 334-0910
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3219 | MN | |
| Chiropractor | 111N00000X | 1073 | SD | Primary |
Addresses
Primary practice location
5109 S. Cliff Ave.
Suite 500
Sioux Falls, SD 57108
Mailing address
600 W Coventary Cir
Sioux Falls, SD 57108-2512
Phone (612) 916-0532
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730262247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W COVENTARY CIR",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082512",
"telephone_number": "612-916-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 S. CLIFF AVE.",
"address_2": "SUITE 500",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57108",
"telephone_number": "605-334-0900",
"fax_number": "605-334-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BRYAN",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3219",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
- Willers Chiropractic, LLC
- Christopher Willers, D.C.
- Anna Cecilia Willet Giusti, MD
- Julie Deanne Willett
- Williams Therapeutic Services LLC
- Casey Benjamin Williams, PHARM.D., BCOP
- Elizabeth Kromah Williams
- Jamie Catherine Williams, M.D.
- Katherine Williams, LPC-MH SUPERVISEE
- Kirstin Anne Williams, ARNP, FNP-C
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.