Individual provider Active NPI

Tonweya Willow Langille, D.C.

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1386839611
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007034 Issued in IA
Practice address
300 W Broadway
Suite 712
Council Bluffs, IA 51503-9030
Phone
(712) 256-2561
Fax
(712) 256-1927
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007034 IA Primary

Addresses

Primary practice location

300 W Broadway
Suite 712
Council Bluffs, IA 51503-9030

Mailing address

300 W Broadway
Suite 712
Council Bluffs, IA 51503-9045
Phone (712) 256-2561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007034IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1386839611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 712",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-256-2561",
            "fax_number": "712-256-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 712",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039030",
            "telephone_number": "712-256-2561",
            "fax_number": "712-256-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGILLE",
        "first_name": "TONWEYA",
        "middle_name": "WILLOW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.