Wilmington Pike Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2108 Issued in OH

Legal business name

WILMINGTON PIKE CHIROPRACTIC LLC

Practice address

4770 Wilmington Pike
Kettering, OH 45440-2021

Phone

(937) 433-5154

Fax

(937) 433-2884

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Sue Weber

Title

Manager

Phone

(937) 433-5154

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Michael Scott Harker, D.C.

  • Chiropractor
  • Kettering, OH
  • NPI 1952314361
  Medicare reassignment NPD

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1013198308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402021",
            "telephone_number": "937-433-5154",
            "fax_number": "937-433-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 WILMINGTON PIKE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402021",
            "telephone_number": "937-433-5154",
            "fax_number": "937-433-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON PIKE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-433-5154",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "4490200",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000020117",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000364432",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevin Linford Connell Williams, M.D.
• Jane Ashley Williamson, NP
• Makayla Williamson
• Ciara Amber Willis, DO
• Matthew Willoughby
• Jocelyn Mary-Estelle Wilson, M.D.
• Katelyn Michelle Wilson, NP
• Leah Kaye Wilson, DPT
• Michael Wilson, MD
• Sallie A Wilson, DO

• Chiropractor in Kettering, OH
• Providers in Kettering, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.