NPIMap

Individual provider Active NPI

Darryl Juan Williams, DC

  • Chiropractor
  • Burlington, NJ
National Provider Identifier
1861449845
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00591600 Issued in NJ
Practice address
1105 Sunset Rd
Suite E and F
Burlington, NJ 08016-2290
Phone
(609) 387-1910
Fax
(609) 387-5122
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00591600 NJ Primary

Addresses

Primary practice location

1105 Sunset Rd
Suite E and F
Burlington, NJ 08016-2290

Mailing address

1105 Sunset Rd
Suite E and F
Burlington, NJ 08016-2290
Phone (609) 387-1910

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

LicenseStateTypeSpecialty
38MC00591600NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington County Chiropractic Chiropractor Past Accepting new patients
Active Rehabilitation P.C. Past Accepting new patients

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1861449845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SUNSET RD",
            "address_2": "SUITE E AND F",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162290",
            "telephone_number": "609-387-1910",
            "fax_number": "609-387-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SUNSET RD",
            "address_2": "SUITE E AND F",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162290",
            "telephone_number": "609-387-1910",
            "fax_number": "609-387-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DARRYL",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00591600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.