Active NPI
David R Willing, D.C.
- Chiropractor
- Grants Pass, OR
National Provider Identifier
1073663787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 2369
- Practice address
- 237 Rogue River Hwy
Grants Pass, OR 97527-5445 - Phone
- (541) 476-2112
- Fax
- (541) 476-6294
- NPI assigned
- Jan 12, 2007
- 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 | 27 2369 | OR | Primary |
Addresses
Primary practice location
237 Rogue River Hwy
Grants Pass, OR 97527-5445
Mailing address
237 Rogue River Hwy
Grants Pass, OR 97527-5445
Phone (541) 476-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110527000177 | OR | Practitioner - Chiropractic | 4284811332 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
237 Rogue River Hwy
Grants Pass, OR 97527-5445
Phone (541) 476-2112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 2369 | OR | MD | Chiropractor |
Organizations & group practices 1
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": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1073663787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 ROGUE RIVER HWY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275445",
"telephone_number": "541-476-2112",
"fax_number": "541-476-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 ROGUE RIVER HWY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275445",
"telephone_number": "541-476-2112",
"fax_number": "541-476-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLING",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 2369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.