Active NPI
Bonnie Dee Wilens, DC
- Chiropractor
- Natick, MA
National Provider Identifier
1588718134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1882
- Practice address
- 207 Union St
Natick, MA 01760 - Phone
- (508) 650-0200
- Fax
- (508) 650-6264
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1882 | MA | Primary |
Addresses
Primary practice location
207 Union St
Natick, MA 01760
Mailing address
207 Union St
Natick, MA 01760
Phone (508) 650-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36370 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111121000487 | MA | Practitioner - Chiropractic | 9931373396 | Practice locations: Natick, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12 Pond St
Natick, MA 01760-3026
Phone (508) 650-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1882 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588718134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 UNION ST",
"city": "NATICK",
"state": "MA",
"postal_code": "01760",
"telephone_number": "508-650-0200",
"fax_number": "508-650-6264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 UNION ST",
"city": "NATICK",
"state": "MA",
"postal_code": "01760",
"telephone_number": "508-650-0200",
"fax_number": "508-650-6264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILENS",
"first_name": "BONNIE",
"middle_name": "DEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y36370",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- 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.
- 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.