Individual provider Active NPI

Nathanael Lee Williams, D.C.

  • Chiropractor
  • Greenwood Village, CO
National Provider Identifier
1982989208
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6754 Issued in CO
Practice address
6535 S Dayton St Ste 3100
Greenwood Village, CO 80111-6134
Phone
(303) 335-9140
NPI assigned
Oct 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6754 CO Primary

Addresses

Primary practice location

6535 S Dayton St Ste 3100
Greenwood Village, CO 80111-6134

Mailing address

6535 S Dayton St
Ste 3100
Greenwood Village, CO 80111-6134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128002965 WI Practitioner - Chiropractic 3779739511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri County Chiropractic SCGroup PAC ID 8628005071, 2 clinicians

Practice addresses (Care Compare)

1620 N Shawano St
Suite E
New London, WI 54961-9318
Phone (920) 982-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6754COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Chiropractic SC Chiropractor CurrentSince Jan 22, 2025 Accepting new patients
Performance Sports Medical Center LLC CurrentSince Oct 30, 2019 Accepting new patients

Locations

6535 S Dayton St
Ste 3100
Greenwood Village, CO 80111
Phone (303) 335-9140

1620 N Shawano St
Ste E
New London, WI 54961
Phone (920) 850-2507

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1982989208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST",
            "address_2": "STE 3100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 S DAYTON ST STE 3100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116134",
            "telephone_number": "303-335-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NATHANAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.

Verify at the official NPI Registry.