Active NPI
Derrick Brian Wilcox, D.C.
- Chiropractor
- Ashville, OH
National Provider Identifier
1285959254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4067
- Practice address
- 3368 State Route 752
Ashville, OH 43103-9009 - Phone
- (740) 983-3500
- Fax
- (888) 204-0223
- NPI assigned
- Apr 2, 2010
- Last updated
- Nov 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 4067 | OH | Primary |
Addresses
Primary practice location
3368 State Route 752
Ashville, OH 43103-9009
Mailing address
3368 State Route 752
Ashville, OH 43103-9009
Phone (740) 983-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18 Long St
Ashville, OH 43103-1309
Phone (740) 983-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4067 | OH | MD | Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ashville Chiropractic and Wellness Center
- Chiropractor
- Ashville, OH
- NPI 1104837830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1285959254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3368 STATE ROUTE 752",
"city": "ASHVILLE",
"state": "OH",
"postal_code": "431039009",
"telephone_number": "740-983-3500",
"fax_number": "888-204-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3368 STATE ROUTE 752",
"city": "ASHVILLE",
"state": "OH",
"postal_code": "431039009",
"telephone_number": "740-983-3500",
"fax_number": "888-204-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "DERRICK",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-02",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.