Organization Active NPI

Wilder Family Chiropractic Care, LLC

  • Chiropractor
  • Cullman, AL
National Provider Identifier
1003370867
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WILDER FAMILY CHIROPRACTIC CARE, LLC
Practice address
1613 3Rd St NE
Cullman, AL 35055-2053
Phone
(256) 734-5050
Fax
(256) 734-5051
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Dr. Patrick M Wilder, DC
Title
Owner/President and Clinic Director
Phone
(256) 734-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1613 3Rd St NE
Cullman, AL 35055-2053

Mailing address

PO Box 6021
Brandon, MS 39047-3921
Phone (334) 797-8977

National Provider Directory

National Provider Directory

Locations

1613 3rd St NE
Cullman, AL 35055
Phone (256) 734-5050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1003370867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6021",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390473921",
            "telephone_number": "334-797-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 3RD ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350552053",
            "telephone_number": "256-734-5050",
            "fax_number": "256-734-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER FAMILY CHIROPRACTIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT AND CLINIC DIRECTOR",
        "authorized_official_telephone_number": "256-734-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.