Individual provider Active NPI

Jason Williams, D.C.

  • Chiropractor
  • Dumfries, VA
National Provider Identifier
1558765123
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557794 Issued in VA
Practice address
3600 Pointe Center CT Ste 110
Dumfries, VA 22026-2670
Phone
(703) 523-1790
Fax
(833) 406-3984
NPI assigned
Oct 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4501 NC
Chiropractor 111N00000X 0104557794 VA Primary

Addresses

Primary practice location

3600 Pointe Center CT Ste 110
Dumfries, VA 22026-2670

Mailing address

3600 Pointe Center CT Ste 110
Dumfries, VA 22026-2670
Phone (703) 523-1790

Other practice location 1

1517 Old Apex Rd
Suite 118
Cary, NC 27513-5364
Phone (608) 385-6574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220401001127 VA Practitioner - Chiropractic 8224353073 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Chiropractor CurrentSince Feb 21, 2022 Accepting new patients
Sentara Therapy Solutions, LLC Chiropractor CurrentSince Feb 21, 2022 Accepting new patients

Locations

3600 Pointe Center Ct
Ste 110
Dumfries, VA 22026
Phone (703) 523-1750

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

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": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1558765123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 POINTE CENTER CT STE 110",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262670",
            "telephone_number": "703-523-1790",
            "fax_number": "833-406-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 POINTE CENTER CT STE 110",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262670",
            "telephone_number": "703-523-1790",
            "fax_number": "833-406-3984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1517 Old Apex Rd",
            "address_2": "Suite 118",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275135364",
            "country_code": "US",
            "telephone_number": "608-385-6574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4501",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.