Wilson Chiropractic Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILSON CHIROPRACTIC WELLNESS CENTER LLC

Practice address

9102 Short Cut Rd
Lancaster, WI 53813-9202

Phone

(608) 723-6188

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Joshua WilsonNPI 1699887216

Title

Chiropractor

Phone

(608) 732-1368

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua J Wilson, DC

  • Chiropractor
  • Lancaster, WI
  • NPI 1699887216
  Medicare reassignment NPD Authorized official
• David Michael Whitty, D.C.

  • Chiropractor
  • Lancaster, WI
  • NPI 1588628655
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1548783798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 SHORT CUT RD",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538139202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 SHORT CUT RD",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538139202",
            "telephone_number": "608-723-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-732-1368",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38970100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Whitty, D.C.
• Mallory Wieland
• Betsy Lynn Williams, MS CCC-SLP
• Clark L Williams, MD
• Sharla R Williams
• Joshua J Wilson, DC
• Laura Winkelman
• Morgan Winkler
• Theresa Yanke
• Mariah Zeier

• Chiropractor in Lancaster, WI
• Providers in Lancaster, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.