Organization Active NPI

Wilson Chiropractic and Wellness LLC

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1306122049
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6211 Issued in CO
Legal business name
WILSON CHIROPRACTIC AND WELLNESS LLC
Practice address
7350 W 88TH Ave Unit G
Westminster, CO 80021-6400
Phone
(303) 422-9955
Fax
(303) 422-3022
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Eric Wilson
Title
Owner
Phone
(303) 422-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6211 CO Primary

Addresses

Primary practice location

7350 W 88TH Ave Unit G
Westminster, CO 80021-6400

Mailing address

7350 W 88TH Ave Unit G
Westminster, CO 80021-6400
Phone (303) 422-9955

Other identifiers 1

IdentifierTypeStateIssuer
6211OtherCOCOLORADO STATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

7350 W 88th Ave
#G
Westminster, CO 80021
Phone (303) 422-9955

7350 W 88th Ave
Unit G
Westminster, CO 80021
Phone (303) 422-9955

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1306122049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 W 88TH AVE UNIT G",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216400",
            "telephone_number": "303-422-9955",
            "fax_number": "303-422-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W 88TH AVE UNIT G",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216400",
            "telephone_number": "303-422-9955",
            "fax_number": "303-422-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-422-9955",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE NUMBER",
            "identifier": "6211",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.