Eric Richard Wise, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-30241 Issued in CA

Practice address

1530 Jamacha Rd
Suite B1
El Cajon, CA 92019-3700

Phone

(619) 444-3477

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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 OR

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regen OrGroup PAC ID 5698139731, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Regen Or

  • General Practice Physician
  • Reno, NV
  • NPI 1619658028

  OR

  Medicare reassignment Care Compare group
• Absolute Wellness, PC

  • Chiropractor
  • Eugene, OR
  • NPI 1730434929
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114093366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 VALLEY RD",
            "address_2": "UNIT 4",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919024163",
            "telephone_number": "619-564-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 JAMACHA RD",
            "address_2": "SUITE B1",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193700",
            "telephone_number": "619-444-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "ERIC",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Frederick Winslow, D.C.
• Katherine Winstead
• Christina Lynn Winter, D.D.S.
• Katharine G Winter, MSCN
• Alesia Wise, RDHAP
• Zachary Wittusen
• Gary James Wokuluk, DDS
• Jack C Wolfe, M.D.
• Samantha Marie Woll
• Jordan Wong, PA

• Chiropractor in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.