Organization Active NPI

William D Welch Jr

  • Chiropractor
  • Wilbraham, MA
National Provider Identifier
1801275474
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
641 Issued in MA
Legal business name
WILLIAM D WELCH JR
Practice address
2703 Boston Rd
Wilbraham, MA 01095-1849
Phone
(413) 279-1512
Fax
(413) 279-1562
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
William D Welch Jr.
Title
Owner/Manager
Phone
(413) 279-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 641 MA Primary

Addresses

Primary practice location

2703 Boston Rd
Wilbraham, MA 01095-1849

Mailing address

2703 Boston Rd
Wilbraham, MA 01095-1849
Phone (413) 279-1512

Other identifiers 1

IdentifierTypeStateIssuer
641OtherMACHIROPRACTIC FACILITY LICENSE

Other names 1

  • Wilbraham Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1801275474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951849",
            "telephone_number": "413-279-1512",
            "fax_number": "413-279-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951849",
            "telephone_number": "413-279-1512",
            "fax_number": "413-279-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D WELCH JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "413-279-1512",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC FACILITY LICENSE",
            "identifier": "641",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilbraham Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.