Active NPI
Dale Francisco Williams, D.C.
- Chiropractor
- South Boston, VA
National Provider Identifier
1003879602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556822
- Practice address
- 1993 Hamilton Blvd
Ste a
South Boston, VA 24592-2146 - Phone
- (434) 575-5130
- Fax
- (434) 575-7570
- NPI assigned
- Apr 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1608 | NC | |
| Chiropractor | 111N00000X | 0104556822 | VA | Primary |
Addresses
Primary practice location
1993 Hamilton Blvd
Ste a
South Boston, VA 24592-2146
Mailing address
1993 Hamilton Blvd
Ste a
South Boston, VA 24592-2146
Phone (434) 575-5130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1608 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1003879602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1993 HAMILTON BLVD",
"address_2": "STE A",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245922146",
"telephone_number": "434-575-5130",
"fax_number": "434-575-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1993 HAMILTON BLVD",
"address_2": "STE A",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245922146",
"telephone_number": "434-575-5130",
"fax_number": "434-575-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DALE",
"middle_name": "FRANCISCO",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1608",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.