Daniel James Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4260 Issued in NC

Practice address

10220 Couloak Dr
Charlotte, NC 28216-7678

Phone

(704) 392-9999

Fax

(704) 392-9913

NPI assigned

Oct 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Authentic Chiropractic PLLC

  • Chiropractor
  • Belmont, NC
  • NPI 1144084534
  Medicare reassignment NPD Authorized official
• Inspire Chiropractic & Wellness

  • Chiropractor
  • Davidson, NC
  • NPI 1255885893
  Medicare reassignment NPD

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1760791214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11056 RENAISSANCE DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367797",
            "telephone_number": "678-756-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 COULOAK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282167678",
            "telephone_number": "704-392-9999",
            "fax_number": "704-392-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010316",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad E Wilson, OT
• Christian Wilson
• Christopher Thomas Wilson, MD
• Corey Stephen Wilson, M.D.
• Courtney Wilson
• Deirdre Wilson, LCSW
• Derek Wilson
• Dillon Wilson, MT-BC
• Ebony N Wilson, MSW, LCSWA
• Ellen Garfield Wilson, LMFTA

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.