Active NPI
William Eliason Sisson Jr., DC
- Sports Physician Chiropractor
- Wilmington, NC
National Provider Identifier
1164449195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 17334
- Practice address
- 4706 Oleander Drive
Wilmington, NC 28403 - Phone
- (910) 392-3770
- Fax
- (910) 313-6711
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1539 | NC | |
| Sports Physician Chiropractor | 111NS0005X | 17334 | CA | Primary |
Addresses
Primary practice location
4706 Oleander Drive
Wilmington, NC 28403
Mailing address
4706 Oleander Drive
Wilmington, NC 28403
Phone (910) 392-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08697 | Other | NC | BCBS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111227000106 | NC | Practitioner - Chiropractic | 4587830476 | Practice locations: Wilmington, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4706 Oleander Dr
Wilmington, NC 28403-5107
Phone (910) 392-3770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1539 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164449195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4706 OLEANDER DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-392-3770",
"fax_number": "910-313-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4706 OLEANDER DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-392-3770",
"fax_number": "910-313-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISSON",
"first_name": "WILLIAM",
"middle_name": "ELIASON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1539",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "17334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "08697",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.