Organization Active NPI

Wilkerson Chiropractic, Inc.

  • Chiropractor
  • Lompoc, CA
National Provider Identifier
1609868694
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12096 Issued in CA
Legal business name
WILKERSON CHIROPRACTIC, INC.
Practice address
415 E Ocean Ave
Lompoc, CA 93436-6839
Phone
(805) 736-4537
Fax
(805) 736-8991
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Marc Franklin Wilkerson, DC
Title
Chiropractor
Phone
(805) 736-4537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12096 CA Primary

Addresses

Primary practice location

415 E Ocean Ave
Lompoc, CA 93436-6839

Mailing address

415 E Ocean Ave
Lompoc, CA 93436-6839
Phone (805) 736-4537

National Provider Directory

National Provider Directory

Locations

415 E Ocean Ave
Lompoc, CA 93436
Phone (805) 736-4537

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1609868694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366839",
            "telephone_number": "805-736-4537",
            "fax_number": "805-736-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366839",
            "telephone_number": "805-736-4537",
            "fax_number": "805-736-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKERSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "805-736-4537",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.