Wilson Gin, L.AC., D. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00902 Issued in TX

Practice address

2250 Highland Village Rd
Suite 200
Highland Village, TX 75077-7146

Phone

(972) 317-9355

NPI assigned

Nov 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trinity Wellness Center, P.C.

  • Chiropractor
  • Highland Village, TX
  • NPI 1801937636
  NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1396046264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 WHITE ROCK TRL",
            "address_2": "SUITE 326",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385012",
            "telephone_number": "214-669-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HIGHLAND VILLAGE RD",
            "address_2": "SUITE 200",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777146",
            "telephone_number": "972-317-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIN",
        "first_name": "WILSON",
        "credential": "L.AC., D. AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00902",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aline Beatrice Fosso, RN
• Stuart Donald Frith, D.C.
• Katherine Noelle Fulford, RN, MSN, AGNP-C
• Jackson Fuller, DDS
• Katia Alejandra Garza, DC
• Leigh Ashley Gistinger, CPNP
• Tiana Joy Gooden, LCSW
• Tommy Lee Gravley
• Avemaria Griffin
• Kimberly Gronberg, DDS, MS

• Acupuncturist in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.