Active NPI
Robert Ian Williams, D.C.
- Chiropractor
- Redmond, WA
National Provider Identifier
1891083291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR.CH.60231990
- Practice address
- 16148 Cleveland St
Redmond, WA 98052-4318 - Phone
- (425) 881-7790
- NPI assigned
- Jul 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR.CH.60231990 | WA | Primary |
Addresses
Primary practice location
16148 Cleveland St
Redmond, WA 98052-4318
Mailing address
8211 136TH Ave SE
Newcastle, WA 98059-3208
Phone (425) 445-9863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
410 Bellevue Way SE
Suite 202
Bellevue, WA 98004-6649
Phone (425) 378-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR.CH.60231990 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Chiropractic Center Inc | Current | Accepting new patients | |
| Vitality Chiropractic Center, Inc. | Current | Accepting new patients | |
| Redmond Chiropractic & Massage, PS | Chiropractor | Past | Accepting new patients |
Locations
410 Bellevue Way SE
Ste 202
Bellevue, WA 98004
Phone (425) 378-1800
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Bellevue, WA
- NPI 1689871659
-
- Rehabilitation Clinic/Center
- Bellevue, WA
- NPI 1497914170
-
- Chiropractor
- Kirkland, WA
- NPI 1235590522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1891083291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8211 136TH AVE SE",
"city": "NEWCASTLE",
"state": "WA",
"postal_code": "980593208",
"telephone_number": "425-445-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16148 CLEVELAND ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980524318",
"telephone_number": "425-881-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ROBERT",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CHIR.CH.60231990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.