Individual provider Active NPI

Ashley Wilcoxson, DC

  • Chiropractor
  • Guthrie, OK
National Provider Identifier
1386068443
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4140 Issued in OK
Practice address
1401 S Division St
Guthrie, OK 73044-5009
Phone
(405) 282-6352
Fax
(405) 282-6353
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4140 OK Primary

Addresses

Primary practice location

1401 S Division St
Guthrie, OK 73044-5009

Mailing address

1401 S Division St
Guthrie, OK 73044-5009
Phone (405) 282-6352

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514000904 AR Practitioner - Chiropractic 5294054946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Perfect Circle Chiropractic, LLCGroup PAC ID 1658635974, 2 clinicians

Practice addresses (Care Compare)

1105 Shipley St
Springdale, AR 72764-5453
Phone (479) 715-3265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Circle Chiropractic, LLC Chiropractor CurrentSince Apr 3, 2018 Accepting new patients

Locations

1105 Shipley St
Springdale, AR 72764
Phone (479) 715-3265

1391 Plaza Pl
Ste B
Springdale, AR 72764
Phone (479) 715-3265

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1386068443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445009",
            "telephone_number": "405-282-6352",
            "fax_number": "405-282-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730445009",
            "telephone_number": "405-282-6352",
            "fax_number": "405-282-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOXSON",
        "first_name": "ASHLEY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.