Wilcox Bayside Spine & Sport Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILCOX BAYSIDE SPINE & SPORT CHIROPRACTIC

Practice address

838 G St
San Diego, CA 92101-6421

Phone

(619) 786-5997

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Justin Wilcox, DCNPI 1861928145

Title

Owner

Phone

(813) 469-0409

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Wilcox

  • Chiropractor
  • San Diego, CA
  • NPI 1861928145
  NPD Authorized official

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1457828618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 G ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016421",
            "telephone_number": "619-786-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 G ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016421",
            "telephone_number": "619-786-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX BAYSIDE SPINE & SPORT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-469-0409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel H. Wilberg, B.A.
• Diane Wilbers, OTR/L
• Lori Leigh Wilborn
• Miranda Wilbourn
• Jacie Marie Wilcock, M.S.
• Barbara Wilcox
• Graciela Wilcox, M.D.
• Jerrame Max Wilcox, L.AC.
• Justin Wilcox
• Lorine L Wilcox, M.D.

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.