Organization Active NPI

Reginald D Wills MD PC

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1932478617
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD8436 Issued in DC
Legal business name
REGINALD D WILLS MD PC
Practice address
1263 Evarts St NE
Washington, DC 20018-3710
Phone
(202) 635-1600
Fax
(202) 529-4425
NPI assigned
Dec 23, 2011
Last updated
Dec 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Reginald Douglas Willls, MD
Title
President
Phone
(202) 635-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD8436 DC Primary

Addresses

Primary practice location

1263 Evarts St NE
Washington, DC 20018-3710

Mailing address

1263 Evarts St NE
Washington, DC 20018-3710
Phone (202) 635-1600

National Provider Directory

National Provider Directory

Locations

1263 Evarts St NE
Washington, DC 20018
Phone (202) 635-1600

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1932478617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 EVARTS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183710",
            "telephone_number": "202-635-1600",
            "fax_number": "202-529-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 EVARTS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183710",
            "telephone_number": "202-635-1600",
            "fax_number": "202-529-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINALD D WILLS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "WILLLS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-635-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD8436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.