Justin Russell Willcoxson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0007175 Issued in CO

Practice address

2525 Arapahoe Ave Unit C2
Boulder, CO 80302-6724

Phone

(719) 373-5339

NPI assigned

Jan 7, 2019

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1073086567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W COUNTY LINE RD APT 25-201",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296532",
            "telephone_number": "719-373-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE UNIT C2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026724",
            "telephone_number": "719-373-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLCOXSON",
        "first_name": "JUSTIN",
        "middle_name": "RUSSELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CH0007175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildwood Counseling PLLC
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• Lauren Mariel Wilkins
• Linda L. Wilkinson, PH.D, LPC
• Lindsey Wilkinson, LPCC
• William a Roberts MD., PC.
• William B Britt
• William Wenokor, M.D., P.C.
• Carolyn Williams-Orlando, PHD
• Allicia Williams, PHARMD

• Chiropractor in Boulder, CO
• Providers in Boulder, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.