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DR. MATTHEW DIRK WILLARD DC
NPI 1619124286
Chiropractor in Winston Salem, NC

Active since August 26, 2008
141 VINEGAR HILL ROAD, WINSTON SALEM, NC 27104(336) 448-1894(336) 448-1895 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Dirk Willard Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW DIRK WILLARD DC (NPI 1619124286) is an individual chiropractor in Winston Salem, North Carolina, licensed in North Carolina (3904) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1619124286
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MATTHEW DIRK WILLARDCredential: DC
Location Address141 VINEGAR HILL ROADWinston Salem, NC 27104
Mailing Address141 Vinegar Hill RdWinston Salem, NC 27104-5069 · (336) 448-1894 · Fax (336) 448-1895
Phone(336) 448-1894
Fax(336) 448-1895
Sole ProprietorYes
Enumeration DateAugust 26, 2008
Last NPPES UpdateJanuary 30, 2013
✔ NPI 1619124286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 3904
Definition
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.
141 VINEGAR HILL ROAD, Winston Salem, NC 27104
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Other Identifiers 5

Medicaid5950449NC
Other111N00000XTaxonomy
Other2456085NC · Medicare Ptan
Other086CJNC · Blue Cross Ptan
Other2451497BNC · Medicare Group Ptan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Willard's NPI number?

The NPI number for Matthew Willard is 1619124286. It was assigned to this individual provider in the NPPES registry on August 26, 2008.

Where is Matthew Willard located?

Matthew Willard practices at 141 Vinegar Hill Road, Winston Salem, NC 27104. The listed phone number is (336) 448-1894.

What is Matthew Willard's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Matthew Willard was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.