Active NPI
William B Waters D.C.P.a.
Doing business as Dr. Buck Waters
- Chiropractor
- Pensacola, FL
National Provider Identifier
1942335187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- FLCH004090
- Legal business name
- WILLIAM B WATERS D.C.P.A.
- Doing business as
- Dr. Buck Waters
- Practice address
- 1602 N 9TH Ave
Pensacola, FL 32503-5522 - Phone
- (850) 435-7777
- Fax
- (850) 435-3132
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 19, 2014
- 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
- Mrs. Donna M Waters
- Title
- Business Manager
- Phone
- (850) 983-7986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | FLCH004090 | FL | Primary |
Addresses
Primary practice location
1602 N 9TH Ave
Pensacola, FL 32503-5522
Mailing address
5513 Bay Meadows Dr
Milton, FL 32583-9518
Phone (850) 983-7986
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70302 | Other | FL | BCBS |
| 050314200 | Medicaid | FL |
Other names 1
- Dr. Buck Waters
National Provider Directory
National Provider DirectoryLocations
1602 N 9th Ave
Pensacola, FL 32503
Phone (850) 435-7777
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Chiropractor
- Port Charlotte, FL
- NPI 1477076545
-
- Chiropractor
- Bradenton, FL
- NPI 1619488947
-
- Chiropractor
- Deltona, FL
- NPI 1891073615
-
- Chiropractor
- Pensacola, FL
- NPI 1801369822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405728000000",
"number": "1942335187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5513 BAY MEADOWS DR",
"city": "MILTON",
"state": "FL",
"postal_code": "325839518",
"telephone_number": "850-983-7986",
"fax_number": "850-983-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325035522",
"telephone_number": "850-435-7777",
"fax_number": "850-435-3132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM B WATERS D.C.P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2014-07-19",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "850-983-7986",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "FLCH004090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "70302",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050314200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Buck Waters",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.