Individual provider Active NPI

Troy D Wilson, DC

  • Chiropractor
  • Westerly, RI
National Provider Identifier
1255401006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00537 Issued in RI
Practice address
259 Post Rd
Westerly, RI 02891-2601
Phone
(401) 322-8822
Fax
(401) 322-9191
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00537 RI Primary

Addresses

Primary practice location

259 Post Rd
Westerly, RI 02891-2601

Mailing address

259 Post Rd
Westerly, RI 02891-2601
Phone (401) 322-8822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000209 MA Practitioner - Chiropractic 8224048731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Canal St
Suite a
Salem, MA 01970-4649
Phone (978) 744-1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP00537RIMDChiropractor
3148MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Chiropractic Center, LLC Chiropractor CurrentSince Jan 1, 2009 Accepting new patients
Robert Campbell DC Professional Corporation Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

111 Canal St
Ste A
Salem, MA 01970
Phone (978) 744-1123

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255401006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 POST RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912601",
            "telephone_number": "401-322-8822",
            "fax_number": "401-322-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 POST RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912601",
            "telephone_number": "401-322-8822",
            "fax_number": "401-322-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TROY",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • 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.