Dominque Williams, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8756 Issued in AR

Practice address

2618 W MLK Blvd
Fayetteville, AR 72701-7698

Phone

(479) 521-7755

Fax

(479) 521-6965

NPI assigned

Sep 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arkansas Holistic Health Care Chiropractic

  • Chiropractor
  • Fayetteville, AR
  • NPI 1235603200
  NPD
• C.a.R.E. Chiropractic Clinic

  • Chiropractor
  • Fayetteville, AR
  • NPI 1467630921
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1821767468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 W MLK BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017698",
            "telephone_number": "479-521-7755",
            "fax_number": "479-521-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 W MLK BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017698",
            "telephone_number": "479-521-7755",
            "fax_number": "479-521-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DOMINQUE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AR",
            "license": "8756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Howell Williams, D.M.D.
• Carla E Williams
• Charity Williams, PT
• Cheryl L Williams, LPC, PLLC
• Damien Alexis Williams, RRT
• Doris M Williams, APN
• Elizabeth Williams, OD
• Elizabeth H Williams, M.S., CCC-SLP
• Emery Williams
• Emily N Williams

• Massage Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Massage Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.