Active NPI
Williamson Chiropractic Office Inc.
- Chiropractor
- Pasadena, TX
National Provider Identifier
1861750952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2577
- Legal business name
- WILLIAMSON CHIROPRACTIC OFFICE INC.
- Practice address
- 3219 Burke Rd
Suite B
Pasadena, TX 77504-1826 - Phone
- (713) 944-1441
- Fax
- (713) 941-2089
- NPI assigned
- Apr 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danny Gray Williamson, D.C.
- Title
- President
- Phone
- (713) 944-1441
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2577 | TX | Primary |
Addresses
Primary practice location
3219 Burke Rd
Suite B
Pasadena, TX 77504-1826
Mailing address
3219 Burke Rd
Suite B
Pasadena, TX 77504-1826
Phone (713) 944-1441
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600869 | Other | MEDICARE BLUE CROSS BLUE SHIELD | |
| 0010746-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6733 Fairmont Pkwy
Pasadena, TX 77505
Phone (281) 991-7676
3219 Burke Rd
Unit B
Pasadena, TX 77504
Phone (713) 944-1441
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Pasadena, TX
- NPI 1740203264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335398400000",
"number": "1861750952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 BURKE RD",
"address_2": "SUITE B",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041826",
"telephone_number": "713-944-1441",
"fax_number": "713-941-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 BURKE RD",
"address_2": "SUITE B",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041826",
"telephone_number": "713-944-1441",
"fax_number": "713-941-2089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSON CHIROPRACTIC OFFICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-26",
"last_updated": "2012-04-26",
"status": "A",
"authorized_official_last_name": "WILLIAMSON",
"authorized_official_first_name": "DANNY",
"authorized_official_middle_name": "GRAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-944-1441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "2577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BLUE CROSS BLUE SHIELD",
"identifier": "600869",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010746-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.