Active NPI
Dale Curtis Wilson, DC
- Nutrition Chiropractor
- Brooklyn, NY
National Provider Identifier
1306172630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X009379
- Practice address
- 21 E 58TH St
Brooklyn, NY 11203-3711 - Phone
- (917) 693-8050
- Fax
- (718) 271-8117
- NPI assigned
- Oct 21, 2009
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X009379 | NY | Primary |
Addresses
Primary practice location
21 E 58TH St
Brooklyn, NY 11203-3711
Mailing address
21 E 58TH St
Brooklyn, NY 11203-3711
Phone (917) 693-8050
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009379 | NY | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1306172630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 E 58TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112033711",
"telephone_number": "917-693-8050",
"fax_number": "718-271-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 E 58TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112033711",
"telephone_number": "917-693-8050",
"fax_number": "718-271-8117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DALE",
"middle_name": "CURTIS",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X009379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.