J. R. Willis, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

J. R. WILLIS, D.C., P.C.

Practice address

1512 N Walker St
Princeton, WV 24740-2639

Phone

(304) 487-8985

Fax

(304) 425-1680

NPI assigned

Nov 13, 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

(304) 487-8985

Specialties & licenses 1

Addresses

Other names 1

• Willis Chiropractic Doing business as

Tax ID family

J R Willis DC PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J R Willis DC PC

  • Chiropractor
  • Princeton, WV
  • NPI 1710974779
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Willis, D.C.

  • Chiropractor
  • Bedford, VA
  • NPI 1053498964
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699846394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 N WALKER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402639",
            "telephone_number": "304-487-8985",
            "fax_number": "304-425-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N WALKER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402639",
            "telephone_number": "304-487-8985",
            "fax_number": "304-425-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. R. WILLIS, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "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": "304-487-8985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Denise Ingram
• Jenna Irwin
• Daniella Isaac
• J R Willis DC PC
• J. Kevin Martin, DDS, PLLC
• Tonya R. Jackson-Lockett, NURSE PRACTITIONER
• Alyssa Jackson
• Kegan Elizabeth Jackson, MSW, LGSW
• Pricilla Jackson
• Rafael Douglas Jackson

• Chiropractor in Princeton, WV
• Providers in Princeton, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.