James Russell Wiley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5709 Issued in CO

Practice address

1212 1/2 E US Highway 24
Woodland Park, CO 80863-9213

Phone

(719) 687-6683

Fax

(719) 686-9545

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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 CO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Integrated Care Network LLCGroup PAC ID 0244770279, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.wiley.2@29676.direct.athenahealth.com

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.

• Colorado Integrated Care Network LLC

  • Physical Medicine & Rehabilitation Physician
  • Golden, CO
  • NPI 1225464399
  Medicare reassignment Care Compare group NPD
• Fountain Creek Chiropractic

  • Chiropractor
  • Woodland Park, CO
  • NPI 1245423268
  Medicare reassignment NPD Authorized official
• Ifcc PLLC

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1881600625
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376654871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 1/2 E US HIGHWAY 24",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639213",
            "telephone_number": "719-684-7794",
            "fax_number": "719-686-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 1/2 E US HIGHWAY 24",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808639213",
            "telephone_number": "719-687-6683",
            "fax_number": "719-686-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Welcome Home Warrior
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• Sarah Gabrielle Fox Whitehouse
• Joyce Lynn Wik
• William R Schroeder DO PC
• Julie Budrzysky Williams, M.A,, CCC-SLP
• Richard Paul Willman
• Willow Therapy PLLC
• Kari-Lynn NMN Wilson, MA

• Chiropractor in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.