Active NPI
Joseph Paul Wilson, D.C.
- Chiropractor
- Williamson, NY
National Provider Identifier
1376945873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012549-1
- Practice address
- 4425 Old Ridge Rd
Williamson, NY 14589-9363 - Phone
- (585) 626-6858
- NPI assigned
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- No
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 | X012549-1 | NY | Primary |
Addresses
Primary practice location
4425 Old Ridge Rd
Williamson, NY 14589-9363
Mailing address
4425 Old Ridge Rd
Williamson, NY 14589-9363
Phone (585) 626-6858
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 |
|---|---|---|---|
| X012549-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1376945873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 OLD RIDGE RD",
"city": "WILLIAMSON",
"state": "NY",
"postal_code": "145899363",
"telephone_number": "585-626-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 OLD RIDGE RD",
"city": "WILLIAMSON",
"state": "NY",
"postal_code": "145899363",
"telephone_number": "585-626-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JOSEPH",
"middle_name": "PAUL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-16",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012549-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.