Individual provider Active NPI

Alexander Willard, DC

  • Chiropractor
  • Parker, CO
National Provider Identifier
1265974141
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007505 Issued in CO
Practice address
6208 E Pine LN
Parker, CO 80138-8722
Phone
(720) 432-5224
NPI assigned
Nov 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0007505 CO Primary

Addresses

Primary practice location

6208 E Pine LN
Parker, CO 80138-8722

Mailing address

6208 E Pine LN
Parker, CO 80138-8722
Phone (720) 432-5224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161215002182 CO Practitioner - Chiropractic 3870873573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Awaken Chiropractic LLCGroup PAC ID 2961782669, 2 clinicians

Practice addresses (Care Compare)

6208 E Pine LN
Parker, CO 80138-8722
Phone (720) 432-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0007505COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Chiropractic LLC Chiropractor CurrentSince Dec 15, 2016 Accepting new patients

Locations

6654 Timberline Rd
Ste A
Highlands Ranch, CO 80130
Phone (303) 862-5115

6208 E Pine Ln
Parker, CO 80138
Phone (720) 381-6139

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1265974141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 E PINE LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388722",
            "telephone_number": "720-432-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 E PINE LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388722",
            "telephone_number": "720-432-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.

Verify at the official NPI Registry.