Tyler Vance Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5087 Issued in NC

Practice address

1105 Tryon Village Dr Ste 302
Cary, NC 27518-7170

Phone

(681) 533-6565

NPI assigned

Jan 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1780214361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 TRYON VILLAGE DR STE 302",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187170",
            "telephone_number": "681-533-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 TRYON VILLAGE DR STE 302",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187170",
            "telephone_number": "681-533-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TYLER",
        "middle_name": "VANCE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphael Williams, BT
• Shacara Williams
• Taylor Regan Williams, MSW, LCSWA
• Toya Serena Williams
• Trevor Houston Williams, D.C.
• Wynter Skyy Williams
• Lakeesha Shavon Williamson
• Michel B Williamson, DC
• Willie Morgan LCSW
• Dawn Crystal Willis, FNP-C

• Chiropractor in Cary, NC
• Providers in Cary, NC by specialty
• Chiropractor in North Carolina

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