Doug Willems D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2928 Issued in OR

Legal business name

DOUG WILLEMS D.C., P.C.

Practice address

242 SW 4TH St
Ste. a
Madras, OR 97741-1364

Phone

(541) 475-6472

Fax

(547) 475-7723

NPI assigned

Sep 17, 2013

Last updated

Sep 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Doug S Willems, D.C.NPI 1669486221

Title

Prestident

Phone

(541) 475-6427

Specialties & licenses 1

Addresses

Other names 1

• HISKEY AND WILLEMS CHIROPRACTIC Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Doug S Willems, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1669486221
  Medicare reassignment NPD Authorized official
• Adam E Derr, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1811901671
  NPD (past)
• Roger A Hiskey, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1992719850
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1154757516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 SW 4TH ST",
            "address_2": "STE. A",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411364",
            "telephone_number": "541-475-6472",
            "fax_number": "547-475-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 SW 4TH ST",
            "address_2": "STE. A",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411364",
            "telephone_number": "541-475-6472",
            "fax_number": "547-475-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG WILLEMS D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "WILLEMS",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESTIDENT",
        "authorized_official_telephone_number": "541-475-6427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HISKEY AND WILLEMS CHIROPRACTIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristine Marie Delamarter, MD
• Ziana Dhalla
• Juan Carlos Diaz Olivera, CADC-1
• Curtis L Dix, O.D. PC
• Sue Lillian Dixon, WHNP-B.C.
• Katie Dulohery, CADC
• East Cascade Retirement Community, LLC
• Taylor Ellenburg
• Ashley Ellers, OTR/L
• Michelle Martina Elliott, CADC I

• Chiropractor in Madras, OR
• Providers in Madras, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.