Wilson Chiropractic and Acupuncture PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILSON CHIROPRACTIC AND ACUPUNCTURE PLLC

Doing business as

East Texas Family Chiropractic

Practice address

1040 S Fleishel Ave
Suite 4
Tyler, TX 75701-2044

Phone

(903) 535-9355

Fax

(903) 535-5053

NPI assigned

May 13, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin G Wilson, D.C.NPI 1952439028

Title

Owner

Phone

(903) 535-9355

Specialties & licenses 1

Addresses

Other names 1

• East Texas Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Gregg Wilson, D.C.

  • Chiropractor
  • Tyler, TX
  • NPI 1952439028
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1720293699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S FLEISHEL AVE",
            "address_2": "SUITE 4",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012044",
            "telephone_number": "903-535-9355",
            "fax_number": "903-535-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S FLEISHEL AVE",
            "address_2": "SUITE 4",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012044",
            "telephone_number": "903-535-9355",
            "fax_number": "903-535-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CHIROPRACTIC AND ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-535-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Beth Willits
• Willow Bend Center
• Willow Counseling Center
• Willow Wellness Center, P.a.
• James M Willtrout
• Wilson Renfroe, PSYD, PLLC
• Alyssa J Wilson, RBT
• Benjamin Gregg Wilson, D.C.
• Braden Wilson, MD
• Clark Alexander Wilson, MD

• Chiropractor in Tyler, TX
• Providers in Tyler, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.