Active NPI
Marlon S Williams, DC
- Chiropractor
- Kingshill, VI
National Provider Identifier
1801005699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9C
- Practice address
- Bay 12 RR1
The Village Mall
Kingshill, VI 00850-9604 - Phone
- (340) 773-4300
- Fax
- (340) 773-4300
- NPI assigned
- May 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9C | VI | Primary |
Addresses
Primary practice location
Bay 12 RR1
The Village Mall
Kingshill, VI 00850-9604
Mailing address
Box 10556
RR1 the Village Mall Bay 12
Kingshill St Croix, VI 00850-9604
Phone (340) 773-4300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9C | VI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801005699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 10556",
"address_2": "RR1 THE VILLAGE MALL BAY 12",
"city": "KINGSHILL ST CROIX",
"state": "VI",
"postal_code": "008509604",
"telephone_number": "340-773-4300",
"fax_number": "340-773-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAY 12 RR1",
"address_2": "THE VILLAGE MALL",
"city": "KINGSHILL",
"state": "VI",
"postal_code": "008509604",
"telephone_number": "340-773-4300",
"fax_number": "340-773-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARLON",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VI",
"license": "9C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingshill, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.