Individual provider Active NPI

Dakota Aric Wilcox, DC

  • Chiropractor
  • Warren, NJ
National Provider Identifier
1003522038
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6048-12 Issued in WI
Practice address
307 Liberty Village Dr
Warren, NJ 07059-2711
Phone
(920) 229-0870
NPI assigned
Jan 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6048-12 WI Primary
Chiropractor 111N00000X 38MC00798200 NJ
Chiropractor 111N00000X 7059 MN

Addresses

Primary practice location

307 Liberty Village Dr
Warren, NJ 07059-2711

Mailing address

307 Liberty Village Dr
Warren, NJ 07059-2711
Phone (920) 229-0870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615000735 NJ Practitioner - Chiropractic 8820461361 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Medical of Watchung LLCGroup PAC ID 8628312501, 22 clinicians

Practice addresses (Care Compare)

459 Watchung Ave
Watchung, NJ 07069-4945
Phone (908) 756-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7059MNMDChiropractor
38MC00798200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Chiropractor CurrentSince May 17, 2023 Accepting new patients

Locations

572 Inman Ave
Colonia, NJ 07067
Phone (732) 382-7600

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

207 Livingston Ave
New Brunswick, NJ 08901
Phone (908) 455-8200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGCGCD/Endpoint/IGCGCD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1003522038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 LIBERTY VILLAGE DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592711",
            "telephone_number": "920-229-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 LIBERTY VILLAGE DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592711",
            "telephone_number": "920-229-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DAKOTA",
        "middle_name": "ARIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6048-12",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00798200",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.

Verify at the official NPI Registry.