Gregory D Wilson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008014L Issued in PA

Practice address

633 W Main St Ste 1
Mount Pleasant, PA 15666-1846

Phone

(724) 542-8864

Fax

(724) 542-8086

NPI assigned

Apr 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Networks

• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
• OH PPO
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1003877507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W MAIN ST STE 1",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661846",
            "telephone_number": "724-542-8864",
            "fax_number": "724-542-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W MAIN ST STE 1",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156661846",
            "telephone_number": "724-542-8864",
            "fax_number": "724-542-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC008014L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008014L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Pennsylvania Dental Group (Chestnut Hills Dental Mt. Pleasant)
• Jeremy C Wilkins, DC
• Larry E Wilkins, D.C.
• Melissa Ann Wilkins, MPT
• Karen Anne Williams
• Jonathan M Wilson, MD
• Amanda Dawn Wiltrout, CCC-SLP
• Michelle Annette Yackovich, MS, ATC
• Matthew Yatsko, MS, LPC, NCC, DCC
• Yolanda Bastaich O.D.

• Chiropractor in Mt Pleasant, PA
• Providers in Mt Pleasant, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.