Jared Benjamin Wilson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH.61340613 Issued in WA

Practice address

2508 W Nob Hill Blvd
Yakima, WA 98902-5104

Phone

(509) 248-5555

Fax

(509) 469-4938

NPI assigned

Sep 7, 2022

Sex

Male

Sole proprietor

No

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 WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Yakima Chiropractic Centres Inc, P.S.

  • Chiropractor
  • Yakima, WA
  • NPI 1508071796
  NPD (past)
• Bridgit Beasley PC

  dba Blue Sky Wellness Studio

  • Acupuncturist
  • Portland, OR
  • NPI 1952568214
  NPD (past)

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1720709736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8357",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989080357",
            "telephone_number": "509-966-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 W NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025104",
            "telephone_number": "509-248-5555",
            "fax_number": "509-469-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 W Nob Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989081928",
            "country_code": "US",
            "telephone_number": "509-966-5555",
            "fax_number": "855-921-1848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JARED",
        "middle_name": "BENJAMIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH.61340613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Springs Care (Willow Springs Care and Rehabilitation)
• Willow Springs SNF Operations LLC (Apple Valley Health & Rehabilitation)
• Casey Wilsey, LMT
• Stephanie Wilske, LMP
• Douglas C Wilson, DDS
• Jessica Marie Wilson, LMP
• Joseph Robert Wilson, D.M.D
• Joshua Wilson
• Michael Britt Wilson, D.C.
• Noah Jeffrey Allen Wilson, SUDPT

• Chiropractor in Yakima, WA
• Providers in Yakima, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.