Active NPI
Jason Williams, D.C.
- Chiropractor
- Dumfries, VA
National Provider Identifier
1558765123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557794
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Therapy Solutions, LLC | Chiropractor | Current | Accepting new patients |
| Sentara Therapy Solutions, LLC | Chiropractor | Current | 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.