Active NPI
Richard L Wilcox DC
- Chiropractor
- Wailuku, HI
National Provider Identifier
1487731923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC445
- Legal business name
- RICHARD L WILCOX DC
- Practice address
- 1958 E Vineyard St
Wailuku, HI 96793-1715 - Phone
- (808) 871-6996
- Fax
- (808) 893-0866
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard L Wilcox, DC
- Title
- Owner
- Phone
- (808) 871-6996
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC384 | HI | |
| Chiropractor | 111N00000X | 15432 | CA | |
| Chiropractor | 111N00000X | DC445 | HI | Primary |
| Chiropractor | 111N00000X | 18844 | CA |
Addresses
Primary practice location
1958 E Vineyard St
Wailuku, HI 96793-1715
Mailing address
1958 E Vineyard St
Wailuku, HI 96793-1715
Phone (808) 871-6996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O0094375 | Other | HI | HI MEDICAL SERVICES ASSOC |
| A0065720 | Other | HI | HI MEDICAL SERVICES ASSOC |
Other names 1
- Wilcox Chiropractic
National Provider Directory
National Provider DirectoryLocations
1958 E Vineyard St
Wailuku, HI 96793
Phone (808) 283-4370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Wailuku, HI
- NPI 1881759876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210291200000",
"number": "1487731923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 E VINEYARD ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931715",
"telephone_number": "808-871-6996",
"fax_number": "808-893-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1958 E VINEYARD ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931715",
"telephone_number": "808-871-6996",
"fax_number": "808-893-0866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD L WILCOX DC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2008-05-09",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-871-6996",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "HI",
"license": "DC384",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "15432",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "HI",
"license": "DC445",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "18844",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HI MEDICAL SERVICES ASSOC",
"identifier": "O0094375",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HI MEDICAL SERVICES ASSOC",
"identifier": "A0065720",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilcox Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.