Wilderness Family Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104002070 Issued in VA

Legal business name

WILDERNESS FAMILY CHIROPRACTIC, PC

Practice address

5757 Plank Rd
Fredericksburg, VA 22407-6227

Phone

(540) 785-5757

Fax

(540) 216-2606

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Christine M Stewart, DCNPI 1710070610

Title

Owner

Phone

(540) 785-5757

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine M Stewart, DC

  • Chiropractor
  • Fredericksburg, VA
  • NPI 1710070610
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1366535247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076227",
            "telephone_number": "540-785-5757",
            "fax_number": "540-216-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076227",
            "telephone_number": "540-785-5757",
            "fax_number": "540-216-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERNESS FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-785-5757",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "203868788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry S Wicker Jr., M.D.
• Emelie Wiedner
• Sherrona D Wiggins
• Rachel Ann Wilcox, PHYSICIAN ASSISTANT
• Wild: Women and Infants Long-Term Development, LLC
• Sherri Wilkerson-Cox, D.D.S.
• Cynthia Ann Wilkes, M.D.
• Wilks Technician LLC
• Natalie Eileen Wilks
• Nancy G Willard, OB/GYN NP

• Chiropractor in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.