Jason John Wilson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3525 Issued in MN

Practice address

2353 Rice St Ste 225
Roseville, MN 55113-3739

Phone

(651) 288-3098

Fax

(651) 288-3781

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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 MN

Enrollment records 1

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.

• Minnesota Pain Relief and Wellness Institute PA

  • Chiropractor
  • Roseville, MN
  • NPI 1255661914
  Medicare reassignment NPD Authorized official
• Saint Paul Hyperbaric Oxygen Center, P.a

  • Clinic/Center
  • Roseville, MN
  • NPI 1275000283
  NPD Authorized official
• Urban Chiropractic

  • Chiropractor
  • Roseville, MN
  • NPI 1457568768
  NPD (past) Authorized official
• Cultural Chiropractic, PA

  • Chiropractor
  • Minneapolis, MN
  • NPI 1073731527
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497874333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 225",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133739",
            "telephone_number": "651-288-3098",
            "fax_number": "651-288-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 225",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133739",
            "telephone_number": "651-288-3098",
            "fax_number": "651-288-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Willenbring
• Jennifer Michelle Williams, DO
• Jonathan P Williams, MD
• Margaret Muthoni Williams, RN
• Nicole Anne Williams, LADC, LPC
• Mark Wilson, M.D.
• Bruce Alan Winch, RPH
• Tara Wingate, AUD
• Molly Alaine Wingfield, MD
• Jessica Lee Winslow, MD

• Chiropractor in Roseville, MN
• Providers in Roseville, MN by specialty
• Chiropractor in Minnesota

• 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.

Verify at the official NPI Registry.