Organization Active NPI

Delmar Primary Care Associates LLC

  • Primary Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1326464298
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2013013940 Issued in MO
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

Updated by the provider on Jul 10, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1568626349OtherMONPI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.