NPIMap

Organization Active NPI

Wilson Chiropractic Health & Wellness, Inc.

  • Chiropractor
  • Clinton, MO
National Provider Identifier
1295770592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004008735 Issued in MO
Legal business name
WILSON CHIROPRACTIC HEALTH & WELLNESS, INC.
Practice address
1743 E Ohio St
Clinton, MO 64735-2401
Phone
(660) 890-0700
Fax
(660) 890-0705
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jon D Wilson, D. C.NPI 1447299219
Title
President
Phone
(660) 723-0738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2004008735 MO Primary

Addresses

Primary practice location

1743 E Ohio St
Clinton, MO 64735-2401

Mailing address

401 S 3Rd St
Clinton, MO 64735-2207
Phone (660) 890-0700

Other identifiers 2

IdentifierTypeStateIssuer
34682019OtherMOBCBS GROUP #
DC5222OtherRR MEDICARE GROUP #

Other names 1

  • Clinton Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295770592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 3RD ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352207",
            "telephone_number": "660-890-0700",
            "fax_number": "660-890-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352401",
            "telephone_number": "660-890-0700",
            "fax_number": "660-890-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CHIROPRACTIC HEALTH & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-723-0738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004008735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "34682019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "DC5222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.