Jay Wilson D.C. P.C.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

2311 Issued in CO

Legal business name

JAY WILSON D.C. P.C.

Practice address

1455 Yarmouth Ave Ste 112
Boulder, CO 80304-4345

Phone

(303) 449-7414

Fax

(303) 449-2147

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jay Wilson, D.C.

Title

Owner

Phone

(303) 449-7414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1053638049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 YARMOUTH AVE STE 112",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044345",
            "telephone_number": "303-449-7414",
            "fax_number": "303-449-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 YARMOUTH AVE STE 112",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044345",
            "telephone_number": "303-449-7414",
            "fax_number": "303-449-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY WILSON D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-449-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CO",
            "license": "2311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Jansson-Mackey, MSC.
• Amanda Janusz
• Deborah Sampson Jarvis, L.C.S.W.
• Lauren Jasilli, FNP-C
• Jay E Swartzwelter D.D.S.
• Theresa Jeannette-Palermo, LCSW
• Jeb Bennett LCSW
• Barbara F Jedrzejek, PSYD, LP
• Jeffrey B Holland OD PC (College Optical)
• Jeffrey H Wong, D.D.S. M.S.

• Exclusive Provider Organization in Boulder, CO
• Providers in Boulder, CO by specialty
• Exclusive Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.