Jerry R Willis DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JERRY R WILLIS DC

Practice address

570 E Main St
Wytheville, VA 24382-2033

Phone

(276) 228-3883

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wendy Holden Willis, D.C.

Title

Vice President

Phone

(276) 228-3883

Specialties & licenses 1

Addresses

Other names 1

• Willis Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538243233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E MAIN ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822033",
            "telephone_number": "276-228-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E MAIN ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822033",
            "telephone_number": "276-228-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY R WILLIS DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "HOLDEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "276-228-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shea McKenna Jakupczyk, BA
• James J McConnell MD PC
• Jennifer Denise James, LCSW
• Anna Jarvis, BCABA
• Gordon W Jennings, OD PC
• Tonya Renee Johnson-Clark, COTA
• Molly L Johnson, FNP-BC
• Teddy R Johnson, DPM
• Darren B Jones, B.S.
• Matthew A Jones, NP-C

• Chiropractor in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.