Active NPI
Wilkins Chiropractic Center PA
- Sports Physician Chiropractor
- Clinton, MD
National Provider Identifier
1679762579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 01675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chyrisse Lynn Wilkins, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.