Active NPI
Frank Ray Wilbur, D.C.
- Chiropractor
- Santa Rosa, CA
National Provider Identifier
1447303441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC16087
- Practice address
- 3510 Unocal PL
Ste 209
Santa Rosa, CA 95403-0918 - Phone
- (707) 284-9200
- Fax
- (707) 284-9204
- NPI assigned
- Jan 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DC16087 | CA | Primary |
Addresses
Primary practice location
3510 Unocal PL
Ste 209
Santa Rosa, CA 95403-0918
Mailing address
3510 Unocal PL
Ste 209
Santa Rosa, CA 95403-0918
Phone (707) 284-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68-0371927 | Other | CA | TAX ID# |
| DC16087 | Other | CA | LICENSE # |
Other names 1
- Ray F Wilbur
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050321000986 | CA | Practitioner - Chiropractic | 6305891508 | Practice locations: Santa Rosa, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3510 Unocal PL
Suite 209
Santa Rosa, CA 95403-0918
Phone (707) 284-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC16087 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1447303441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 UNOCAL PL",
"address_2": "STE 209",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954030918",
"telephone_number": "707-284-9200",
"fax_number": "707-284-9204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 UNOCAL PL",
"address_2": "STE 209",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954030918",
"telephone_number": "707-284-9200",
"fax_number": "707-284-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBUR",
"first_name": "FRANK",
"middle_name": "RAY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC16087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "68-0371927",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "DC16087",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAY",
"last_name": "WILBUR",
"middle_name": "F",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.