Mark Wilson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

826 Issued in MT

Practice address

2300 Great Northern Ave Ste B
Missoula, MT 59808-1726

Phone

(406) 549-9100

Fax

(406) 549-9151

NPI assigned

Nov 20, 2006

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

Enrolled in MT

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• W Chiropractic Incorporated

  • Chiropractor
  • Missoula, MT
  • NPI 1346399896
  Medicare reassignment Authorized official
• Tall Pines Chiropractic, P.C.

  • Chiropractor
  • Missoula, MT
  • NPI 1942563093
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1700950771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GREAT NORTHERN LOOP",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081745",
            "telephone_number": "406-549-9100",
            "fax_number": "406-549-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GREAT NORTHERN AVE STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081726",
            "telephone_number": "406-549-9100",
            "fax_number": "406-549-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary J Willstein, MD
• David Lee Wilson, M.D.
• Eva Freese Wilson, ND
• Lauren Sarah Wilson, M.D.
• Lennard Steven Wilson, M.D.
• Pamela C. Wilson, LCPC
• Philip Michael Wilson, D.D.S.
• Tara Mahoney Wilson, MSPT, OCS, CSCS
• Tiana Wilson, LCSW
• Tracy Louise Wilson, LCPCC

• Chiropractor in Missoula, MT
• Providers in Missoula, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.