Daryl D Wills, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

531 Issued in NE

Practice address

416 Valley View Dr Ste 1300
Scottsbluff, NE 69361-1459

Phone

(308) 436-7176

Fax

(308) 436-2092

NPI assigned

Oct 16, 2006

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wills Chiropractic Clinic, P.C.Group PAC ID 6709781388, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: staff@willsclinic.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wills Chiropractic Clinic, P.C.

  • Chiropractor
  • Scottsbluff, NE
  • NPI 1730269531
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1427138304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 VALLEY VIEW DR STE 1300",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611459",
            "telephone_number": "308-436-7176",
            "fax_number": "308-436-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 VALLEY VIEW DR STE 1300",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611459",
            "telephone_number": "308-436-7176",
            "fax_number": "308-436-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "DARYL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09621",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83023906301",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@willsclinic.com",
            "affiliation": "N",
            "address_1": "416 Valley View Dr Ste 1300",
            "city": "Scottsbluff",
            "state": "NE",
            "country_code": "US",
            "postal_code": "693611459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randall Williams, MD
• Samantha Williams
• Wendy Williams, M.D.
• Wills Chiropractic Clinic, P.C.
• Blake Tyler Wills
• Masumi K. Wilroy, DO
• Richard 'Gregg' Wilroy Jr., D.O.
• Caleb Wilson
• Isaiah Wilson, PLADC
• Shannon Wilson

• Chiropractor in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.