NPI Code Detail JSON Logo

1134312788 NPI number — TERRY L WILLIAMS JR. DC

NPI Number: 1134312788
Health Care Provider/Practitioner: TERRY L WILLIAMS JR. DC

Information about “1134312788” NPI (TERRY L WILLIAMS JR. DC) exists in 1134312788 in HTML format HTML  |  1134312788 in plain Text format TXT  |  1134312788 in PDF (Portable Document Format) PDF  |  1134312788 in an XML format XML  formats.

NPI Number : 1134312788 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134312788",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "TERRY",
    "MiddleName": "L",
    "NamePrefix": "DR.",
    "NameSuffix": "JR.",
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7700 CLAYTON RD",
    "SecondLineMailingAddress": "SUITE 305",
    "MailingAddressCityName": "RICHMOND HEIGHTS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63117-1328",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-200-3134",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7700 CLAYTON RD",
    "SecondLinePracticeLocationAddress": "SUITE 305",
    "PracticeLocationAddressCityName": "RICHMOND HEIGHTS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63117-1328",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-200-3134",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/27/2007",
    "LastUpdateDate": "09/24/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "1717",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "2304",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "2008005857",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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