Active NPI
Delmar Primary Care Associates LLC
- Primary Care Clinic/Center
- Saint Louis, MO
National Provider Identifier
1326464298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 2013013940
- Legal business name
- DELMAR PRIMARY CARE ASSOCIATES LLC
- Practice address
- 5621 Delmar Blvd
Suite 108
Saint Louis, MO 63112 - Phone
- (314) 833-3437
- Fax
- (314) 833-3102
- NPI assigned
- Mar 14, 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
- Dr. Dannie E Williams, M.D.
- Title
- General Practitioner/Owner
- Phone
- (314) 833-3437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 2013013940 | MO | Primary |
Addresses
Primary practice location
5621 Delmar Blvd
Suite 108
Saint Louis, MO 63112
Mailing address
5621 Delmar Blvd
Suite 108
Saint Louis, MO 63112-2656
Phone (314) 833-3437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568626349 | Other | MO | NPI |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/8596/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531180800000",
"number": "1326464298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5621 DELMAR BLVD",
"address_2": "SUITE 108",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631122656",
"telephone_number": "314-833-3437",
"fax_number": "314-833-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5621 DELMAR BLVD",
"address_2": "SUITE 108",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63112",
"telephone_number": "314-833-3437",
"fax_number": "314-833-3102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELMAR PRIMARY CARE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-14",
"last_updated": "2018-07-10",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DANNIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "GENERAL PRACTITIONER/OWNER",
"authorized_official_telephone_number": "314-833-3437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MO",
"license": "2013013940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568626349",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.