Individual provider Active NPI

Christian Spencer Wilson, DC

  • Chiropractor
  • Huntington, WV
National Provider Identifier
1326793134
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1118 Issued in WV
Practice address
1010 6TH Ave
Huntington, WV 25701-2308
Phone
(304) 666-8182
NPI assigned
Feb 21, 2022
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1118 WV Primary

Addresses

Primary practice location

1010 6TH Ave
Huntington, WV 25701-2308

Mailing address

126 W 2ND Ave
Williamson, WV 25661-3104
Phone (304) 928-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220316001569 KY Practitioner - Chiropractic 6800281528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

419 Licking Pike
Suite B
Wilder, KY 41071-3046
Phone (859) 360-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
276052KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health & Rehabilitation Chiropractic Center PLLC CurrentSince Mar 4, 2022 Accepting new patients
Mountain State Movement Chiropractor Past Accepting new patients

Locations

419 Licking Pike
Ste B
Wilder, KY 41071
Phone (859) 360-0664

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1326793134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W 2ND AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613104",
            "telephone_number": "304-928-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012308",
            "telephone_number": "304-666-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTIAN",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.

Verify at the official NPI Registry.