Individual provider Active NPI

William Wilcoxson, DC

  • Chiropractor
  • Concord, NC
National Provider Identifier
1043666977
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4662 Issued in NC
Practice address
3630 Poplar Tent Rd
Concord, NC 28027-5535
Phone
(704) 792-2700
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4662 NC Primary

Addresses

Primary practice location

3630 Poplar Tent Rd
Concord, NC 28027-5535

Mailing address

3630 Poplar Tent Rd
Concord, NC 28027-5535
Phone (704) 792-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621001803 NC Practitioner - Chiropractic 4688965700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3630 Poplar Tent Rd
Concord, NC 28027-5535
Phone (704) 792-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4646NCMDRehabilitation Chiropractor
4662NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Wellness PC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

3630 Poplar Tent Rd
Concord, NC 28027
Phone (704) 792-2700

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1043666977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275535",
            "telephone_number": "704-792-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275535",
            "telephone_number": "704-792-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOXSON",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.