Individual provider Active NPI

Faith Eliabeth Wilson, D.C.

  • Chiropractor
  • Dickinson, TX
National Provider Identifier
1649922204
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15039 Issued in TX
Practice address
211 FM 646 Rd W
Dickinson, TX 77539-3036
Phone
(713) 893-9777
NPI assigned
Jan 24, 2022
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15039 TX Primary

Addresses

Primary practice location

211 FM 646 Rd W
Dickinson, TX 77539-3036

Mailing address

18314 Kings Row
Houston, TX 77058-3228
Phone (713) 261-4996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216000107 TX Practitioner - Chiropractic 2961895933 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15039TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Chiropractic and Wellness Chiropractor CurrentSince Mar 24, 2025 Accepting new patients
Aj Marshall Medical, PLLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

211 FM 646 Rd W
Dickinson, TX 77539
Phone (713) 893-9777

6910 FM 1488 Rd
Ste 3
Magnolia, TX 77354
Phone (281) 630-3836

17099 Walden Rd
Ste 100
Montgomery, TX 77356
Phone (281) 630-3836

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1649922204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18314 KINGS ROW",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583228",
            "telephone_number": "713-261-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FM 646 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393036",
            "telephone_number": "713-893-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "FAITH",
        "middle_name": "ELIABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.