Wilkerson Chiropractic Office, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12311 Issued in CA

Legal business name

WILKERSON CHIROPRACTIC OFFICE, INC

Practice address

519 W Carson St
101
Carson, CA 90745-2642

Phone

(310) 533-1070

Fax

(310) 328-8501

NPI assigned

Apr 11, 2012

Last updated

May 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris Mark Wilkerson, DC

Title

Owner

Phone

(310) 533-1070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1023374345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W CARSON ST",
            "address_2": "101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452642",
            "telephone_number": "310-533-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W CARSON ST",
            "address_2": "101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452642",
            "telephone_number": "310-533-1070",
            "fax_number": "310-328-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKERSON CHIROPRACTIC OFFICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-533-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kisha Williams

• Chiropractor in Carson, CA
• Providers in Carson, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.