Terry Wayne Wilson, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

19650 Issued in CA

Practice address

24835 La Palma Ave Ste D
Yorba Linda, CA 92887-5532

Phone

(714) 692-1771

Fax

(714) 692-8620

NPI assigned

Oct 12, 2007

Last updated

Oct 12, 2007By the provider in NPPES

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Terry W Wilson DC

  dba East Canyon Chiropractic

  • Chiropractor
  • Yorba Linda, CA
  • NPI 1326142357
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1558559690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24835 LA PALMA AVE STE D",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928875532",
            "telephone_number": "714-692-1771",
            "fax_number": "714-692-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24835 LA PALMA AVE STE D",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928875532",
            "telephone_number": "714-692-1771",
            "fax_number": "714-692-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "19650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Nicole White, PHARMD
• Lisa Williams
• Wendy McInerney Williams, RDHAP
• Joseph Isaiah Willis, M.D.
• Christine Renee Wilson, MD
• Teresa Marie Wisner, DC
• Shyla Michelle Witthaus, FNP-BC
• Allison Elizabeth Wolf, PT, DPT
• Natalie Wolfinger, LMFT
• Michelle Katherine Wood, OTR/L

• Rehabilitation Chiropractor in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.