Dara Rena Wilson, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

S02081 Issued in MD

Practice address

2810 Walters LN
Suite 14
Forestville, MD 20747-3247

Phone

(301) 420-8888

Fax

(301) 420-8838

NPI assigned

Jun 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Levin and Lippy Chiropractic PC

  • Chiropractor
  • Baltimore, MD
  • NPI 1215066774
  NPD (past)
• Lippy Chiropractic PC

  • Chiropractor
  • Baltimore, MD
  • NPI 1932612447
  NPD (past)
• Crawford Chiropractic, PA

  • Chiropractor
  • Greensboro, NC
  • NPI 1699166751
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1669679239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056747",
            "telephone_number": "410-578-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 WALTERS LN",
            "address_2": "SUITE 14",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207473247",
            "telephone_number": "301-420-8888",
            "fax_number": "301-420-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DARA",
        "middle_name": "RENA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S02081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warner Dental Care
• Warner Implant, TMD, & Sleep Apnea Center
• Gary Everard Warner, D.D.S.
• Bashiyra Williams, MBA
• Dreka Denise Williams, OD
• John Wilson III
• Marsha Annette Woodland
• Yanyna Yaich
• Brenda Glendena Young
• Paula Marie Young, NP

• Rehabilitation Chiropractor in Forestville, MD
• Providers in Forestville, MD by specialty
• Rehabilitation Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.