Organization Active NPI

Michael a. Williams, DC

  • Sports Physician Chiropractor
  • O'Fallon, MO
National Provider Identifier
1902064223
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CD-006167 Issued in MO
Legal business name
MICHAEL A. WILLIAMS, DC
Practice address
8633 Mexico Rd
O Fallon, MO 63366-7506
Phone
(636) 272-8888
NPI assigned
May 23, 2008
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Michael Williams, D.C.NPI 1922098599
Title
President
Phone
(636) 272-8888

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
Sports Physician Chiropractor 111NS0005X CD-006167 MO Primary

Addresses

Primary practice location

8633 Mexico Rd
O Fallon, MO 63366-7506

Mailing address

PO Box 935
O Fallon, MO 63366-0935
Phone (636) 272-8888

National Provider Directory

National Provider Directory

Locations

204 W Pitman St
Ste C
O Fallon, MO 63366
Phone (636) 240-7385

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1902064223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633660935",
            "telephone_number": "636-272-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8633 MEXICO RD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667506",
            "telephone_number": "636-272-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. WILLIAMS, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-272-8888",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "CD-006167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.