Organization Active NPI

Williamson Chiropractic Office Inc.

  • Chiropractor
  • Pasadena, TX
National Provider Identifier
1861750952
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2577 Issued in TX
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

Updated by the provider on Apr 26, 2012

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.NPI 1740203264
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
600869OtherMEDICARE BLUE CROSS BLUE SHIELD
0010746-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000353 TX Part B Supplier - Clinic/Group Practice 7911169263 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.