Active NPI
William H Wilson, D.C.
- Chiropractor
- Metairie, LA
National Provider Identifier
1750570925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 854
- Practice address
- 3701 Division St
Suite 131
Metairie, LA 70002-4617 - Phone
- (985) 710-2645
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 854 | LA | Primary |
Addresses
Primary practice location
3701 Division St
Suite 131
Metairie, LA 70002-4617
Mailing address
3701 Division St
Suite 131
Metairie, LA 70002-4617
Phone (985) 710-2645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 854 | Other | LA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 854 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1750570925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 DIVISION ST",
"address_2": "SUITE 131",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024617",
"telephone_number": "985-710-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 DIVISION ST",
"address_2": "SUITE 131",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700024617",
"telephone_number": "985-710-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "WILLIAM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "854",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.