Organization Active NPI

Wilkins Chiropractic Center PA

  • Sports Physician Chiropractor
  • Clinton, MD
National Provider Identifier
1679762579
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
01675 Issued in MD
Legal business name
WILKINS CHIROPRACTIC CENTER PA
Practice address
7901 Branch Ave
Clinton, MD 20735-1626
Phone
(301) 877-9000
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Dr. Chyrisse Lynn Wilkins, DCNPI 1508936782
Title
Owner/ Chiropractor
Phone
(301) 877-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 01675 MD Primary

Addresses

Primary practice location

7901 Branch Ave
Clinton, MD 20735-1626

Mailing address

7901 Branch Ave
Clinton, MD 20735-1626
Phone (301) 877-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120425000509 DC Part B Supplier - Clinic/Group Practice 9234391947 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1679762579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BRANCH AVE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351626",
            "telephone_number": "301-877-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BRANCH AVE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351626",
            "telephone_number": "301-877-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINS CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CHYRISSE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "301-877-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "01675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

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