Active NPI
Rebecca Wilder, DC
- Chiropractor
- Charlottesville, VA
National Provider Identifier
1275081895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557368
- Practice address
- 1212 Saint George Ave
Charlottesville, VA 22901-4146 - Phone
- (434) 218-2215
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557368 | VA | Primary |
Addresses
Primary practice location
1212 Saint George Ave
Charlottesville, VA 22901-4146
Mailing address
1212 Saint George Ave
Charlottesville, VA 22901-4146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557368 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1275081895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 SAINT GEORGE AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229014146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 SAINT GEORGE AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229014146",
"telephone_number": "434-218-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "REBECCA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.