Michael Cole Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31747 Issued in CA

Practice address

4432 Ingraham St
San Diego, CA 92109-4404

Phone

(858) 270-2225

Fax

(858) 270-6898

NPI assigned

Aug 5, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Symmetry Health Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1174838460
  Medicare reassignment NPD Authorized official
• Scott Chiropractic LLC

  • Clinic/Center
  • San Diego, CA
  • NPI 1427295823
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1487968111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 INGRAHAM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094404",
            "telephone_number": "858-270-2225",
            "fax_number": "858-270-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 INGRAHAM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094404",
            "telephone_number": "858-270-2225",
            "fax_number": "858-270-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHAEL",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella M. Wilson, MD
• Mark Wilson, MOT OTR/L
• Mark Alan Wilson
• Mary Malia Wilson, BCBA
• Matthew D Wilson, DPM
• Monica Anne Wilson, RN, CNS
• Nadine Esther Wilson, M.D.
• Natalie Wilson
• Nehemiah E Wilson, MD
• Nicholas Wilson, MD

• 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 Aug 5, 2010; 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.

Verify at the official NPI Registry.