Individual provider Active NPI

Joshua J Wilson, DC

  • Chiropractor
  • Lancaster, WI
National Provider Identifier
1699887216
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4246-012 Issued in WI
Practice address
9102 Short Cut Rd
Lancaster, WI 53813-9202
Phone
(608) 723-6188
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4246-012 WI Primary

Addresses

Primary practice location

9102 Short Cut Rd
Lancaster, WI 53813-9202

Mailing address

9102 Short Cut Rd
Lancaster, WI 53813-9202
Phone (715) 848-2526

Other practice location 1

1225 Main St
Stevens Point, WI 54481-2864
Phone (715) 344-2990

Other identifiers 1

IdentifierTypeStateIssuer
38970100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000322 WI Practitioner - Chiropractic 0648275776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9102 Short Cut Rd
Lancaster, WI 53813-9202
Phone (608) 723-6188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4246-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Chiropractic Wellness Center LLC Chiropractor CurrentSince Aug 7, 2017 Accepting new patients
Arcadia Chiropractic & Wellness Inc. Chiropractor PastSince Mar 31, 2016 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor PastSince Jul 23, 2007 Accepting new patients
Poland Chiropractic Inc Chiropractor PastSince Dec 31, 2015 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699887216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 SHORT CUT RD",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538139202",
            "telephone_number": "715-848-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 SHORT CUT RD",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538139202",
            "telephone_number": "608-723-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Main St",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544812864",
            "country_code": "US",
            "telephone_number": "715-344-2990",
            "fax_number": "715-344-4991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4246-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38970100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.