Active NPI
Steve M Willen, DC
- Sports Physician Chiropractor
- Greensboro, NC
National Provider Identifier
1669409181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- NC 1406
- Practice address
- 3808 High Point Rd
Suite H
Greensboro, NC 27407-4713 - Phone
- (336) 855-8560
- Fax
- (336) 855-5938
- NPI assigned
- Jun 28, 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | NC 1406 | NC | Primary |
Addresses
Primary practice location
3808 High Point Rd
Suite H
Greensboro, NC 27407-4713
Mailing address
3808 High Point Rd
Suite H
Greensboro, NC 27407-4713
Phone (336) 855-8560
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330532 | Other | NC | ACN |
| 44-09021 | Other | NC | UNITED HEALTH CARE |
| 8444 | Other | NC | PARTNERS |
| 8908922 | Medicaid | NC | |
| 08922 | Other | NC | BCBS |
| 24885 | Other | NC | MEDCOST |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC 1406 | NC | MD | Sports Physician Chiropractor |
| 1406 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willen Chiropractic Center | Sports Physician | Past | Accepting new patients |
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.
-
- Sports Physician Chiropractor
- Greensboro, NC
- NPI 1881790848
Sports Physician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669409181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 HIGH POINT RD",
"address_2": "SUITE H",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274074713",
"telephone_number": "336-855-8560",
"fax_number": "336-855-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 HIGH POINT RD",
"address_2": "SUITE H",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274074713",
"telephone_number": "336-855-8560",
"fax_number": "336-855-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEN",
"first_name": "STEVE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NC",
"license": "NC 1406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "330532",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "44-09021",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "8444",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908922",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08922",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "24885",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.