Active NPI
Nicholas A Wilcox, D.C.
- Chiropractor
- Graham, WA
National Provider Identifier
1003931395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH33906
- Practice address
- 22007 Meridian Ave E
Suite C
Graham, WA 98338-8411 - Phone
- (253) 847-0682
- Fax
- (000) 000-0000
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH33906 | WA | Primary |
Addresses
Primary practice location
22007 Meridian Ave E
Suite C
Graham, WA 98338-8411
Mailing address
22007 Meridian Ave E
Suite C
Graham, WA 98338-8411
Phone (253) 847-0682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH33906 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003931395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22007 MERIDIAN AVE E",
"address_2": "SUITE C",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388411",
"telephone_number": "253-847-0682",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22007 MERIDIAN AVE E",
"address_2": "SUITE C",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388411",
"telephone_number": "253-847-0682",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "NICHOLAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH33906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.