Active NPI
Terry L. Wiley, D.C.
- Nutrition Chiropractor
- Alamosa, CO
National Provider Identifier
1407956261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 1181
- Practice address
- 511 Main St., Suite #6
Alamosa, CO 81101-2664 - Phone
- (719) 589-5163
- Fax
- (719) 589-8988
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 1181 | CO | Primary |
Addresses
Primary practice location
511 Main St., Suite #6
Alamosa, CO 81101-2664
Mailing address
511 Main St Ste 6
Alamosa, CO 81101-2649
Phone (719) 589-5163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
511 Main St
Suite 6
Alamosa, CO 81101-2649
Phone (719) 589-5163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1181 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiley Chiropractic Group P. C. | Nutrition | Current | Accepting new patients |
Locations
511 Main St
Ste 6
Alamosa, CO 81101
Phone (719) 589-5163
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1407956261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MAIN ST STE 6",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012649",
"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., SUITE #6",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012664",
"telephone_number": "719-589-5163",
"fax_number": "719-589-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "TERRY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "1181",
"primary": true
}
],
"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 Oct 1, 2013; 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.