Michael Bernard Wilder, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28603 Issued in CA

Practice address

144 Stony Point Rd
Santa Rosa, CA 95401-4122

Phone

(707) 521-4685

Fax

(707) 526-1016

NPI assigned

Nov 29, 2006

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonoma County Indian Health Project IncGroup PAC ID 2961491238, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.wilder.p1@direct.scihp.nextgenshare.com

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

• Sonoma County Indian Health Project, Inc

  dba Scihp

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1265457980
  Medicare reassignment Care Compare group NPD
• Sonoma County Indian Health Project, Inc

  dba Sonoma County Indian Health Project Pharmacy

  • Community/Retail Pharmacy
  • Santa Rosa, CA
  • NPI 1568461267
  NPD (past)
• Sonoma County Indian Health Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Point Arena, CA
  • NPI 1578729380
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1033286042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STONY POINT RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014122",
            "telephone_number": "707-521-4500",
            "fax_number": "707-526-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 STONY POINT RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014122",
            "telephone_number": "707-521-4685",
            "fax_number": "707-526-1016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10A mamie laiwa",
            "address_purpose": "LOCATION",
            "city": "point arena",
            "state": "CA",
            "postal_code": "954680623",
            "country_code": "US",
            "telephone_number": "707-882-2877",
            "fax_number": "707-882-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "MICHAEL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Ray Wilbur, D.C.
• Kyle Wilburn
• Steven Charles Wilburn, DMD
• Michael Warren Wilcox, M.A., M.A.
• Jacqueline Michael Wilde, LMFT
• Zoe Book Wilder, LCSW
• Wildflower Health, Inc.
• Wildflower Telehealth Network Inc.
• Wildflower Telehealth Services, Inc.
• John David Wildgust, RN, MSN, PHN, PMHNP

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.