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
- Last updated
- Jul 8, 2007
- 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 |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.