Alesha K. Willis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6719 Issued in CO

Practice address

9370 S Colorado Blvd
#A-10
Highlands Ranch, CO 80126-5205

Phone

(303) 471-9355

Fax

(720) 306-8987

NPI assigned

Apr 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Life Chiropractic

  • Chiropractor
  • Highlands Ranch, CO
  • NPI 1740532597
  NPD (past) Authorized official

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1801186358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630821",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801630821",
            "telephone_number": "404-790-5664",
            "fax_number": "720-306-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 S COLORADO BLVD",
            "address_2": "#A-10",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265205",
            "telephone_number": "303-471-9355",
            "fax_number": "720-306-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ALESHA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-17",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6719",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Henry Williams, PA-C
• Lindsay Hollis Williams, DDS
• Lisa Irene Williams, LPC
• Marissa Williams, LPCC
• Young-Won Williams, D.M.D
• Mark Willis, M.D.
• Amanda S Wilson, O.D.
• Anne-Marie Wilson, PT
• Cheryl Kaye Wilson, RN
• Lori L Wilson

• Chiropractor in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.