James Raymond Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30022 Issued in CA

Practice address

2000 W Kettleman LN
Suite 104
Lodi, CA 95242-4334

Phone

(209) 334-6947

Fax

(209) 334-6969

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Wilson and Allen Chiropractic CorporationGroup PAC ID 3678988425, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrw@waac0002.direct.chirotouch.md

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.

• Wilson & Allen Chiropractic Corporation

  • Chiropractor
  • Lodi, CA
  • NPI 1083201347
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1417023474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952580986",
            "telephone_number": "209-339-9036",
            "fax_number": "209-339-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W KETTLEMAN LN",
            "address_2": "SUITE 104",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424334",
            "telephone_number": "209-334-6947",
            "fax_number": "209-334-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMES",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Williams
• Denise Williams
• Kimberly Williams
• Susan Mary Williams, NP
• Wilson & Allen Chiropractic Corporation
• Lindella Wilson
• Anthony Paul Wingfield, INDIVIDUAL
• Gary Royce Wisner, M.D.
• Joseph Alexander Woelfel, PH.D., FASCP, R.PH.
• Mary Larkins Woelfel, IBCLC

• Chiropractor in Lodi, CA
• Providers in Lodi, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.