Thomas Edward Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002395 Issued in MI

Practice address

777 E Water St
1 Plaza Dr. Suite 6
Pendleton, IN 46064-9317

Phone

(765) 778-5251

NPI assigned

Jan 25, 2007

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Hudak Chiropractic Clinic, PC

  • Chiropractor
  • Saint Joseph, MI
  • NPI 1225087018
  NPD
• Healing Springs Chiropractic and Wellness Center LLC

  • Chiropractor
  • Berrien Springs, MI
  • NPI 1356619332
  NPD (past)
• Healing Springs Chiropractic Inc

  • Chiropractor
  • Berrien Springs, MI
  • NPI 1982844528
  NPD (past)
• Santa Maria P.C. Dba Caremore Chiropractic Centers

  • Chiropractor
  • Albuquerque, NM
  • NPI 1538173463
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1396890547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E. WATER ST.",
            "address_2": "1 PLAZA DR. SUITE 6",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "46064",
            "telephone_number": "765-778-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E WATER ST",
            "address_2": "1 PLAZA DR. SUITE 6",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649317",
            "telephone_number": "765-778-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001732A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Voland, M.A., CCC-SLP
• Meaka Ebony Walker, RN/BSN
• Chasiti West, RBT
• Stephanie Lee Westcott, ED.S.
• Kyle Wilson, PHARMD
• Dana Eldridge Wright, D.D.S.
• Gary A Wright, MD
• Joseph Wrin
• Elizabeth Yost

• Chiropractor in Pendleton, IN
• Providers in Pendleton, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.