Active NPI
Wiley Chiropractic Group P. C.
- Chiropractor
- Alamosa, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1181
- Legal business name
- WILEY CHIROPRACTIC GROUP P. C.
- Practice address
- 511 Main St
Suite 6
Alamosa, CO 81101-2672 - Phone
- (719) 589-5163
- Fax
- (719) 589-8988
- NPI assigned
- May 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry L Wiley, DC
- Title
- President
- Phone
- (719) 589-5163
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1181 | CO | Primary |
| Nutrition Chiropractor | 111NN1001X | 1181 | CO | |
| Pediatric Chiropractor | 111NP0017X | 1181 | CO | |
| Radiology Chiropractor | 111NR0200X | 1181 | CO | |
| Rehabilitation Chiropractor | 111NR0400X | 1181 | CO | |
| Sports Physician Chiropractor | 111NS0005X | 1181 | CO |
Addresses
Primary practice location
511 Main St
Suite 6
Alamosa, CO 81101-2672
Mailing address
511 Main St
Suite 6
Alamosa, CO 81101-2672
Phone (719) 589-5163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2078454 | Wiley Chiropractic Group PC | Certificate of waiver | May 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
511 Main St
Ste 6
Alamosa, CO 81101
Phone (719) 589-5163
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutrition Chiropractor
- Alamosa, CO
- NPI 1407956261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273622400000",
"number": "1386962553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MAIN ST",
"address_2": "SUITE 6",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012672",
"telephone_number": "719-589-5163",
"fax_number": "719-589-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MAIN ST",
"address_2": "SUITE 6",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012672",
"telephone_number": "719-589-5163",
"fax_number": "719-589-8988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILEY CHIROPRACTIC GROUP P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-12",
"last_updated": "2010-05-12",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-589-5163",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "1181",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "1181",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CO",
"license": "1181",
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Radiology",
"state": "CO",
"license": "1181",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "CO",
"license": "1181",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "1181",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.