DR. WILLIS J CASTER (NPI# 1063455772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063455772 |
| Entity Type | Individual |
| Full Name | DR. WILLIS J CASTER |
| Credential | DC |
| Practice Address |
2227 W Broadway Council Bluffs IA 51501 |
| Practice Telephone | 7123228241 |
| Practice Fax Number | 7123228250 |
| Mailing Telephone | 7123228241 |
| Mailing Fax Number | 7123228250 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4179 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0091355 | 05 |
| Street Address |
2227 W BROADWAY |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050486 | Performance In Motion Chiropractic Pllc | Chiropractor | 2227 W Broadway, Council Bluffs, IA 51501-3631 | 2018-10-31 |
| 1366833444 | Joshua David Owen | Chiropractor | 2227 W Broadway, Council Bluffs, IA 51501-3631 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123527 | Aligned Chiropractic Pllc | Chiropractor | 928 Valley View Dr Ste 14, Council Bluffs, IA 51503-5288 | 2020-08-08 |
| 1073157723 | Parker James Struebing | Chiropractor | 300 W Broadway Ste 712, Council Bluffs, IA 51503-9030 | 2019-11-05 |
| 1063078871 | Brian Thomas Hansen | Chiropractor | 1920 Rue St Ste 11, Council Bluffs, IA 51503-3601 | 2019-05-16 |
| 1962913863 | Jordan Mouw | Chiropractor | 20 Power Dr Ste 1, Council Bluffs, IA 51501-7701 | 2017-10-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1538695325 | Nathan Schanuth | Chiropractor | 1720 N 16th St, Suite G, Council Bluffs, IA 51501-0102 | 2017-05-11 |
| 1891060109 | Bluffs Family Chiropractic, P.C. | Chiropractor | 303 Mckenzie Ave, Council Bluffs, IA 51503-1017 | 2012-03-20 |
| 1114219169 | Advanced Chiropractic Care Inc. | Chiropractor | 7 N 6th St, Council Bluffs, IA 51503-0710 | 2011-05-10 |
| 1457520405 | Amber Rose Streff | Chiropractor | 20 Power Drive Suite #1, Council Bluffs, IA 51501 | 2008-02-25 |
| 1548453020 | Thomas J. Orth, D.c.p.c. | Chiropractor | 1702 W Broadway, Suite 7, Council Bluffs, IA 51501 | 2007-08-20 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on DR. WILLIS J CASTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.