Richard Troy Willis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4799 Issued in KY

Practice address

3730 Frankfort Ave
#203
Louisville, KY 40207-2582

Phone

(502) 409-9300

Fax

(502) 409-9307

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Chiro Med PLLCGroup PAC ID 5294118626, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Chiro Med PLLC

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
  • NPI 1164179818

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Back to Health Chiropractic, PLLC

  • Chiropractor
  • Dallas, TX
  • NPI 1316269814
  NPD
• Spine Center II, Inc

  • Chiropractor
  • Louisville, KY
  • NPI 1598986812
  NPD (past)
• Spine Center Inc

  • Chiropractor
  • Louisville, KY
  • NPI 1053531665
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1306950167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 FRANKFORT AVE",
            "address_2": "#203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072582",
            "telephone_number": "502-409-9300",
            "fax_number": "502-409-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 FRANKFORT AVE",
            "address_2": "#203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072582",
            "telephone_number": "502-409-9300",
            "fax_number": "502-409-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RICHARD",
        "middle_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David O Willis, DMD
• Hunter Willis, LPCC
• Jennifer R Willis, NP
• Mallorie Leigh Willis, APRN, CNM
• Michelle L Willis, CRTT
• Sarah Willis
• Shannon Willis
• Terrie Ann Willis, BA
• Beth Lynn Willison, APRN, FNP-C
• Maggie Marie Willman, APRN

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.