Active NPI
David R. Willing, DC, LLC
- Chiropractor
- Grants Pass, OR
National Provider Identifier
1376041806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 272369
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
237 Rogue River Hwy
Grants Pass, OR 97527
Phone (541) 476-2112
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 272369 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary 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.