Miles Ralph Wiltse, DC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

X0064451 Issued in NY

Practice address

6449 Kirkville Road
East Syracuse, NY 13057-1600

Phone

(315) 433-0077

Fax

(315) 433-1294

NPI assigned

Mar 20, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598880478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 KIRKVILLE ROAD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571600",
            "telephone_number": "315-433-0077",
            "fax_number": "315-433-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 KIRKVILLE ROAD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571600",
            "telephone_number": "315-433-0077",
            "fax_number": "315-433-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSE",
        "first_name": "MILES",
        "middle_name": "RALPH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X0064451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C064453",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Wight, PT, DPT
• Lori Ann Wike, MS, CCC/SLP
• Britnee Nichole Williams, FNP
• Eleanor Williams, MD
• Michelle Williams
• Jennifer Rene Winiarczyk-Nalle, PMHNP-BC
• Lindsey Sarah Winter
• Wojtyna Dental LLC
• Women Working for Women
• Benny M Wong, M.D.

• Orthopedic Chiropractor in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Orthopedic Chiropractor in New York

• 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.

Verify at the official NPI Registry.