J R Willis Dc PC
J R Willis Dc PC is a healthcare organization registered as Chiropractor in Princeton, WV, holding Type 2 (organization) NPI 1710974779 since 2005. The authorized official on file is Lee Willis, Chiropractor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710974779 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | J R Willis Dc PC |
| Other name | <Unavail> |
| Practice address | 1512 N WALKER ST, Princeton, WV, 24740 |
| Phone | 3044878985 |
| Fax | 3044251680 |
| Enumeration date | 2005-10-04 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Lee Willis |
|---|---|
| Title | Chiropractor |
| Phone | 2762283883 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Secondary | 0104001278 | VA |
| 111N00000X | Chiropractor | Primary | 589 | WV |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131755000 | Medicaid | WV | — |
Copy-ready billing details
Provider: J R Willis Dc PC NPI: 1710974779 Taxonomy: 111N00000X (Chiropractor) Address: 1512 N WALKER ST, Princeton, WV, 24740
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699846394 | J. R. Willis, D.C., P.C. | Organization | Chiropractor | Princeton, WV |
| 1689928863 | Tt&M Holdings PC | Organization | Chiropractor | Princeton, WV |
Verify this record
Cross-check NPI 1710974779 against the authoritative CMS record: view J R Willis Dc PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is J R Willis Dc PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.