Organization Active NPI

T K Williams PC

  • Chiropractor
  • Clive, IA
National Provider Identifier
1831218205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05155 Issued in IA
Legal business name
T K WILLIAMS PC
Practice address
8450 Hickman Rd
Ste 14
Clive, IA 50325-4313
Phone
(515) 276-9441
Fax
(515) 243-0948
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Traci Kip Williams, DC
Title
President-Physician
Phone
(515) 276-9441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05155 IA Primary

Addresses

Primary practice location

8450 Hickman Rd
Ste 14
Clive, IA 50325-4313

Mailing address

8450 Hickman Rd
Ste 14
Clive, IA 50325-4313
Phone (515) 276-9441

Other identifiers 3

IdentifierTypeStateIssuer
243089OtherIAMIDLANDS CHOICE
44-00218OtherIAUNITEDHEALTHCARE
23229OtherIAWELLMARK BLUE CROSS BLUE

National Provider Directory

National Provider Directory

Locations

8450 Hickman Rd
Ste 14
Clive, IA 50325
Phone (515) 276-9441

3829 71st St
Ste B
Urbandale, IA 50322
Phone (515) 276-9441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831218205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 HICKMAN RD",
            "address_2": "STE 14",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254313",
            "telephone_number": "515-276-9441",
            "fax_number": "515-243-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 HICKMAN RD",
            "address_2": "STE 14",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254313",
            "telephone_number": "515-276-9441",
            "fax_number": "515-243-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T K WILLIAMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "KIP",
        "authorized_official_title_or_position": "PRESIDENT-PHYSICIAN",
        "authorized_official_telephone_number": "515-276-9441",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "243089",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "44-00218",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE",
            "identifier": "23229",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

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