Wilson & Allen Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILSON & ALLEN CHIROPRACTIC CORPORATION

Practice address

2000 W Kettleman LN Ste 104
Lodi, CA 95242-4334

Phone

(209) 334-6947

Fax

(209) 334-6969

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Krystal Sherri Allen, D.C.NPI 1659580702

Title

Chiropractor

Phone

(209) 334-6947

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystal Sherri Allen, D.C.

  • Chiropractor
  • Lodi, CA
  • NPI 1659580702
  Medicare reassignment Care Compare group NPD Authorized official
• James Raymond Wilson, D.C.

  • Chiropractor
  • Lodi, CA
  • NPI 1417023474
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1083201347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W KETTLEMAN LN STE 104",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424334",
            "telephone_number": "209-334-6947",
            "fax_number": "209-334-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W KETTLEMAN LN STE 104",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424334",
            "telephone_number": "209-334-6947",
            "fax_number": "209-334-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON & ALLEN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "SHERRI",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "209-334-6947",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE CERTIFICATE",
            "identifier": "4379",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann White
• Crystal Williams
• Denise Williams
• Kimberly Williams
• Susan Mary Williams, NP
• James Raymond Wilson, D.C.
• Lindella Wilson
• Anthony Paul Wingfield, INDIVIDUAL
• Gary Royce Wisner, M.D.
• Joseph Alexander Woelfel, PH.D., FASCP, R.PH.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.