Organization Active NPI

Wilkins Chiropractic Inc.

  • Nutrition Chiropractor
  • San Diego, CA
National Provider Identifier
1356770176
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC12097 Issued in CA
Legal business name
WILKINS CHIROPRACTIC INC.
Practice address
4295 Gesner St
Suite 2D
San Diego, CA 92117-6646
Phone
(619) 276-1146
Fax
(619) 276-1246
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Dr. Cary Keith Wilkins, D.C.
Title
Owner
Phone
(619) 276-1146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X DC12097 CA Primary

Addresses

Primary practice location

4295 Gesner St
Suite 2D
San Diego, CA 92117-6646

Mailing address

4295 Gesner St
Suite 2D
San Diego, CA 92117-6646
Phone (619) 276-1146

Other identifiers 1

IdentifierTypeStateIssuer
1235140070OtherCANPI

National Provider Directory

National Provider Directory

Locations

4295 Gesner St
Ste 2D
San Diego, CA 92117
Phone (619) 276-1146

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1356770176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 GESNER ST",
            "address_2": "SUITE 2D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176646",
            "telephone_number": "619-276-1146",
            "fax_number": "619-276-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 GESNER ST",
            "address_2": "SUITE 2D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176646",
            "telephone_number": "619-276-1146",
            "fax_number": "619-276-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINS CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-276-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC12097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235140070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.