Richard Loren Wilcox, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC 384 Issued in HI

Practice address

1958 E Vineyard St
Wailuku, HI 96793-1715

Phone

(808) 871-6996

Fax

(808) 893-0866

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

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.

• Richard L Wilcox DC

  dba Wilcox Chiropractic

  • Chiropractor
  • Wailuku, HI
  • NPI 1487731923
  Authorized official Same address or phone

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679622716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 E VINEYARD ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931715",
            "telephone_number": "808-871-6996",
            "fax_number": "808-893-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 E VINEYARD ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931715",
            "telephone_number": "808-871-6996",
            "fax_number": "808-893-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "RICHARD",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "HI",
            "license": "DC 384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Sports Physician Chiropractor in Hawaii

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.