Matthew Williams, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.014183 Issued in IL

Practice address

315 N Elm St
Centralia, IL 62801-2954

Phone

(618) 532-7600

NPI assigned

Sep 11, 2024

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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Williams Chiropractic Office PLLCGroup PAC ID 1557848231, 3 clinicians

Berger Chiropractic Office LLCGroup PAC ID 9335474055, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Williams Chiropractic Office PLLC

  • Chiropractor
  • Centralia, IL
  • NPI 1619838281
  Medicare reassignment Care Compare group NPD Authorized official
• Berger Chiropractic Office LLC

  • Chiropractor
  • Centralia, IL
  • NPI 1326512393
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1811723372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N ELM ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628012954",
            "telephone_number": "618-532-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N ELM ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628012954",
            "telephone_number": "618-532-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williams Chiropractic Office PLLC
• Kurt S Williams, DC
• Leah Williams
• Leslie Ann Williams, FNP
• Mark E Williams, DC
• Willow Grove SCH Dist 46
• Amanda Winchell, MA
• Daniel A Wolf, O.D.
• Kristina Worlds
• Alicia Lee Wuebbels, RPH

• Chiropractor in Centralia, IL
• Providers in Centralia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.