Active NPI
Edward D Wilson, DC
- Chiropractor
- Frisco, TX
National Provider Identifier
1417030685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7091
- Practice address
- 4500 Hillcrest
#160
Frisco, TX 75035 - Phone
- (972) 377-4747
- Fax
- (972) 377-0977
- NPI assigned
- Oct 23, 2006
- 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 | 7091 | TX | Primary |
Addresses
Primary practice location
4500 Hillcrest
#160
Frisco, TX 75035
Mailing address
4500 Hillcrest
#160
Frisco, TX 75035
Phone (972) 377-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120405000712 | TX | Practitioner - Chiropractic | 3173784832 | Practice locations: Frisco, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7091 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417030685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 HILLCREST",
"address_2": "#160",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "972-377-4747",
"fax_number": "972-377-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 HILLCREST",
"address_2": "#160",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "972-377-4747",
"fax_number": "972-377-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "EDWARD",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "7091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.