Individual provider Active NPI

William Todd McDougall, DC

  • Chiropractor
  • Waynesville, NC
National Provider Identifier
1760799977
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4114 Issued in NC
Practice address
44 Montgomery St
Waynesville, NC 28786-5714
Phone
(828) 230-7018
NPI assigned
Sep 9, 2010
Last updated
Nov 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4114 NC Primary

Addresses

Primary practice location

44 Montgomery St
Waynesville, NC 28786-5714

Mailing address

44 Montgomery St
Waynesville, NC 28786-5714
Phone (828) 230-7018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120216000007 NC Practitioner - Chiropractic 6800054123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

367 Dellwood Rd
Suite E1
Waynesville, NC 28786-2986
Phone (828) 246-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4114NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Solutions Chiropractic LLC Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

367 Dellwood Rd
Ste E1
Waynesville, NC 28786
Phone (828) 246-9699

44 Montgomery St
Waynesville, NC 28786
Phone (828) 230-7018

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, 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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1760799977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MONTGOMERY ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287865714",
            "telephone_number": "828-230-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MONTGOMERY ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287865714",
            "telephone_number": "828-230-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "WILLIAM",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.