Active NPI
Soni Wilson, DC
- Chiropractor
- Detroit, MI
National Provider Identifier
1518989979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006844
- Practice address
- 15 E Kirby St
Suite 111
Detroit, MI 48202-4047 - Phone
- (313) 575-2947
- NPI assigned
- Jul 24, 2006
- Last updated
- Mar 17, 2010
- Sex
- Female
- 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 | 006844 | MI | Primary |
Addresses
Primary practice location
15 E Kirby St
Suite 111
Detroit, MI 48202-4047
Mailing address
15 E Kirby St
Suite 111
Detroit, MI 48202-4047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4840358 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006844 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C.a.R.E. Chiropractic | Chiropractor | Past | Accepting new patients |
| Elite Spine and Musculoskeletal Center PLLC | Past | Accepting new patients | |
| Lawrence a Gralewski | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Detroit, MI
- NPI 1063431963
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- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Grand Rapids, MI
- NPI 1386998755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1518989979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E KIRBY ST",
"address_2": "SUITE 111",
"city": "DETROIT",
"state": "MI",
"postal_code": "482024047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E KIRBY ST",
"address_2": "SUITE 111",
"city": "DETROIT",
"state": "MI",
"postal_code": "482024047",
"telephone_number": "313-575-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SONI",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "006844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4840358",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.