Active NPI
Kiersten Mariah Wilcox, DC
- Chiropractor
- Ashville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 05019
- Practice address
- 3368 State Route 752
Ashville, OH 43103-9009 - Phone
- (740) 983-3500
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- 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 | 05019 | OH | Primary |
Addresses
Primary practice location
3368 State Route 752
Ashville, OH 43103-9009
Mailing address
5050 S Walnut St Lot 12
South Bloomfield, OH 43103-1079
Phone (419) 302-7240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05019 | Medicaid | OH |
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, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1233 W Market St
Lima, OH 45805-2728
Phone (419) 229-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05019 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilcox Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Natural Medicine,LLC | Chiropractor | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
18 Long St
Ashville, OH 43103
Phone (740) 983-3500
3368 State Route 752
Ashville, OH 43103
Phone (740) 893-3500
1233 W Market St
Lima, OH 45805
Phone (419) 227-8435
529 N Westminster St
Waynesfield, OH 45896
Phone (419) 227-3978
529 N Westminster St
Ste A
Waynesfield, OH 45896
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Waynesfield, OH
- NPI 1629384771
-
- Chiropractor
- Ashville, OH
- NPI 1104837830
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1306441985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 S WALNUT ST LOT 12",
"city": "SOUTH BLOOMFIELD",
"state": "OH",
"postal_code": "431031079",
"telephone_number": "419-302-7240"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "KIERSTEN",
"middle_name": "MARIAH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "05019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05019",
"state": "OH"
}
],
"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 Dec 2, 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.