Organization Active NPI

David R. Willing, DC, LLC

  • Chiropractor
  • Grants Pass, OR
National Provider Identifier
1376041806
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272369 Issued in OR
Legal business name
DAVID R. WILLING, DC, LLC
Practice address
237 Rogue River Hwy
Grants Pass, OR 97527-5445
Phone
(541) 476-2112
NPI assigned
Jan 30, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ann M Willing
Title
Office Manager
Phone
(541) 476-2112

Practitioners 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180312001814 OR Part B Supplier - Clinic/Group Practice 6901168897 Receives reassigned benefits from 1 practitioner
Practice locations: Grants Pass, OR

National Provider Directory

National Provider Directory

Locations

237 Rogue River Hwy
Grants Pass, OR 97527
Phone (541) 476-2112

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 272369 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

237 Rogue River Hwy
Grants Pass, OR 97527-5445

Mailing address

237 Rogue River Hwy
Grants Pass, OR 97527-5445
Phone (541) 476-2112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2018.

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1376041806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 ROGUE RIVER HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275445",
            "telephone_number": "541-476-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 ROGUE RIVER HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275445",
            "telephone_number": "541-476-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. WILLING, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "WILLING",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-476-2112"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.