NPIMap

Organization Active NPI

Willen Chiropractic Center

  • Sports Physician Chiropractor
  • Greensboro, NC
National Provider Identifier
1881790848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
NC1406 Issued in NC
Legal business name
WILLEN CHIROPRACTIC CENTER
Practice address
3808 High Point Rd
Suite H
Greensboro, NC 27407-4713
Phone
(336) 855-8560
Fax
(336) 855-5938
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steve M Willen, DCNPI 1669409181
Title
President
Phone
(336) 855-8560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X NC1406 NC Primary

Addresses

Primary practice location

3808 High Point Rd
Suite H
Greensboro, NC 27407-4713

Mailing address

3808 High Point Rd
Sutie H
Greensboro, NC 27407-4713
Phone (336) 855-8560

Other identifiers 9

IdentifierTypeStateIssuer
11008887OtherNCCAQH
282687OtherNCPHCS
44-09021OtherNCUNITED HEALTH CARE
5175103OtherNCFIRST HEALTH
8444OtherNCPARTNERS
8908922MedicaidNC
330532OtherNCACN
08922OtherNCBCBS
24885OtherNCMEDCOST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881790848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 HIGH POINT RD",
            "address_2": "SUTIE 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": {
        "organization_name": "WILLEN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-855-8560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "NC1406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11008887",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "282687",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "44-09021",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5175103",
            "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": "ACN",
            "identifier": "330532",
            "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 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.