Joseph Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

853 Issued in NM

Practice address

755 S Telshor Blvd Ste 102
Las Cruces, NM 88011-4688

Phone

(575) 532-1116

Fax

(575) 532-7050

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Heritage Chiropractic Center, LLC

  • Chiropractor
  • Las Cruces, NM
  • NPI 1619138807
  Medicare reassignment NPD
• Southwest Regenerative Medicine LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Cruces, NM
  • NPI 1053937946
  NPD Authorized official
• Hawkins Chiropractic Care, LLC

  • Chiropractor
  • Las Cruces, NM
  • NPI 1982964268
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1164573085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S TELSHOR BLVD",
            "address_2": "STE 220",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118682",
            "telephone_number": "575-649-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S TELSHOR BLVD STE 102",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114688",
            "telephone_number": "575-532-1116",
            "fax_number": "575-532-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "4937",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5677101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "603805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Carol Wilson, LPCC
• Benjamin David Wilson, M.D.
• Elisha Jaedon Wilson
• Elizabeth M Wilson, DMD
• Jeremiah B Wilson, MSW
• Kaile Wilson
• Kerrin Noel Wilson, LISW
• Rosemary Wilson
• Vanessa Wilson, LMSW
• Kaitlyn Sarah Wine

• Chiropractor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.