Active NPI
Donald Eugene Willey, D.C.
- Chiropractor
- Fresno, CA
National Provider Identifier
1063519247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12580
- Practice address
- 1809 N Fresno St
Fresno, CA 93703-3033 - Phone
- (559) 445-3120
- Fax
- (559) 432-3763
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 12580 | CA | Primary |
Addresses
Primary practice location
1809 N Fresno St
Fresno, CA 93703-3033
Mailing address
1809 N Fresno St
Fresno, CA 93703-3033
Phone (559) 445-3120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061108000435 | CA | Practitioner - Chiropractic | 6103823927 | Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1809 N Fresno St
Fresno, CA 93703-3033
Phone (559) 445-3120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063519247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937033033",
"telephone_number": "559-445-3120",
"fax_number": "559-432-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937033033",
"telephone_number": "559-445-3120",
"fax_number": "559-432-3763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "DONALD",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "12580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
- Kathleen Wilkinson
- Cheyenne Willcutt
- Catherine A Wille, M.D.
- Gregory A Wille, G50076
- Brian J Willems, CI35270322
- William Cox Dental Corporation (Gentle Dental Fresno)
- William E Hadcock, Jr, MD, Inc.
- William Garnica a Medical Corporation
- William L Ebbeling MD Inc Apmc
- William L. Griffin, Jr. M.D., Inc
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.