Active NPI
Philip M Willner, D.C.
- Chiropractor
- Littleton, CO
National Provider Identifier
1972720183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6624
- Practice address
- 7261 S Broadway Ste 101B
Littleton, CO 80122-8017 - Phone
- (720) 283-8006
- Fax
- (720) 283-8006
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6624 | CO | Primary |
Addresses
Primary practice location
7261 S Broadway Ste 101B
Littleton, CO 80122-8017
Mailing address
10784 Rainribbon Rd
Highlands Ranch, CO 80126-5656
Phone (720) 283-8006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120119000713 | CO | Practitioner - Chiropractic | 9931286978 | Practice locations: Littleton, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7261 S Broadway
Suite 101B
Littleton, CO 80122-8017
Phone (720) 383-8436
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6624 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 005022 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1972720183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10784 RAINRIBBON RD",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801265656",
"telephone_number": "720-283-8006",
"fax_number": "720-283-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7261 S BROADWAY STE 101B",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801228017",
"telephone_number": "720-283-8006",
"fax_number": "720-283-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLNER",
"first_name": "PHILIP",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.