Organization Active NPI

Chirocare for Women, LLC.

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1316177181
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3562 Issued in OH
Legal business name
CHIROCARE FOR WOMEN, LLC.
Practice address
611 E Weber Rd Ste 100
Columbus, OH 43211-1097
Phone
(614) 784-9355
Fax
(614) 784-8355
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Dr. Willena Celeste Brooks, D.C.NPI 1205905122
Title
Doctor/Owner
Phone
(614) 784-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3562 OH Primary

Addresses

Primary practice location

611 E Weber Rd Ste 100
Columbus, OH 43211-1097

Mailing address

611 E Weber Rd Ste 100
Columbus, OH 43211-1097
Phone (614) 784-9355

Other identifiers 5

IdentifierTypeStateIssuer
2547613MedicaidOH
000000375921OtherOHANTHEM
7957749OtherAETNA
671846OtherPRIVATE HEALTHCARE SYSTEMS
671846OtherUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000025 OH Part B Supplier - Clinic/Group Practice 1658310925 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

510 E North Broadway St
Ste 205
Columbus, OH 43214

611 E Weber Rd
Ste 100
Columbus, OH 43211
Phone (614) 447-1360

3620 N High St
Ste 206
Columbus, OH 43214
Phone (614) 784-9355

3316 N High St
Ste D
Columbus, OH 43202
Phone (614) 784-9355

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1316177181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E WEBER RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432111097",
            "telephone_number": "614-784-9355",
            "fax_number": "614-784-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E WEBER RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432111097",
            "telephone_number": "614-784-9355",
            "fax_number": "614-784-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCARE FOR WOMEN, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "WILLENA",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "614-784-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2547613",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000375921",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7957749",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEMS",
            "identifier": "671846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "671846",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.