Active NPI
John William Wilcox, D.C.
- Orthopedic Chiropractor
- Bellevue, WA
National Provider Identifier
1073768784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- CH 1821
- Practice address
- 41 148TH Ave NE
Suite 2
Bellevue, WA 98007 - Phone
- (425) 643-4484
- NPI assigned
- Nov 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | CH 1821 | WA | Primary |
Addresses
Primary practice location
41 148TH Ave NE
Suite 2
Bellevue, WA 98007
Mailing address
41 148TH Ave NE
Bellevue, WA 98007
Phone (425) 643-4484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 1821 | WA | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1073768784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 148TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "425-643-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 148TH AVE NE",
"address_2": "SUITE 2",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98007",
"telephone_number": "425-643-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "WA",
"license": "CH 1821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.