Wilmington Chiropractic Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

004167 Issued in MO

Legal business name

WILMINGTON CHIROPRACTIC CLINIC, LLC

Practice address

4918 Weber Rd
Saint Louis, MO 63123-5645

Phone

(314) 353-1477

Fax

(314) 631-3060

NPI assigned

Jan 8, 2018

Last updated

Jan 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Fiscella, DCNPI 1548295215

Title

Owner

Phone

(314) 353-1477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

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.

• Michael Joseph Fiscella, D.C.

  • Orthopedic Chiropractor
  • Saint Louis, MO
  • NPI 1548295215
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1609383900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 WEBER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235645",
            "telephone_number": "314-353-1477",
            "fax_number": "314-631-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 WEBER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235645",
            "telephone_number": "314-353-1477",
            "fax_number": "314-631-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "FISCELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-353-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "004167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilma in-Home Angels Inc
• Jill D Wilmarth, RNC, NNP,BC
• John H Wilmas Jr., M.D.
• Kelly Michele Wilmas, MD
• Jacob Michael Wilmes, PMHNP-BC
• Wilmington Clinic D.C., P.C.
• Tara Wilmot, RDN, LD
• Nicholas Jon Wilsdorf, DDS
• Vanessa Wilson-Cox
• Scott Andrew Wilson-Flewelling, MD

• Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.