Willis Chiropractic Offices

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000181 Issued in VA

Legal business name

WILLIS CHIROPRACTIC OFFICES

Practice address

305 Allegheny St
Richlands, VA 24641-2346

Phone

(276) 963-0395

Fax

(276) 964-2225

NPI assigned

Jan 19, 2007

Last updated

Dec 12, 2007By 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. John C Willis, CHNPI 1356310577

Title

Chiropractor

Phone

(276) 963-0395

Specialties & licenses 3

Addresses

Other identifiers 5

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.

• John Curtis Willis, CH.

  • Chiropractor
  • Richlands, VA
  • NPI 1356310577
  NPD (past) Authorized official
• Lori A. Collins, C.H.

  • Chiropractor
  • Richlands, VA
  • NPI 1003984337
  NPD (past)
• Brent Olson Warner, CH.

  • Chiropractor
  • Richlands, VA
  • NPI 1730158429
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1255484713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246411045",
            "telephone_number": "276-963-0395",
            "fax_number": "276-964-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ALLEGHENY ST",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412346",
            "telephone_number": "276-963-0395",
            "fax_number": "276-964-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS CHIROPRACTIC OFFICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "276-963-0395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000181",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556270",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "145963",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "007315",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS UMWA",
            "identifier": "1300519",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7880576",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4669783",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Olson Warner, CH.
• Washington Square Clinic Inc
• Washington Square RHC
• Wheeler Drug Corp (Cedar Bluff Pharmacy)
• Gregory Wade Wheeler, RPH
• John Curtis Willis, CH.
• Abbigail Zedd

• Chiropractor in Richlands, VA
• Providers in Richlands, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.