Individual provider Active NPI

Andrew John Williams, DC

  • Chiropractor
  • Williston, VT
National Provider Identifier
1821160896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-001164 Issued in VT
Practice address
66 Knight LN
Suite 40
Williston, VT 05495-9307
Phone
(802) 764-4040
Fax
(802) 764-4041
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-001164 VT Primary

Addresses

Primary practice location

66 Knight LN
Suite 40
Williston, VT 05495-9307

Mailing address

66 Knight LN
Suite 40
Williston, VT 05495-9307
Phone (802) 764-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000533 VT Practitioner - Chiropractic 1153331624 Practice locations: Williston, VT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Knight LN
Williston, VT 05495-9308
Phone (802) 764-4040

Williams Family Chiropractic
66 Knight Lane Suite 40
Williston, VT 05495-9308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-001164VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heuser Chiropractic, P.C. Chiropractor Past Accepting new patients
Heuser Chiropractic, P.C. Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821160896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 KNIGHT LN",
            "address_2": "SUITE 40",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959307",
            "telephone_number": "802-764-4040",
            "fax_number": "802-764-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 KNIGHT LN",
            "address_2": "SUITE 40",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959307",
            "telephone_number": "802-764-4040",
            "fax_number": "802-764-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-001164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

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.
  • 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.