Organization Active NPI

Steven a. Wilson DC Dabcn PA

  • Clinic/Center
  • Brandon, FL
National Provider Identifier
1760792428
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH004538 Issued in FL
Legal business name
STEVEN A. WILSON DC DABCN PA
Practice address
303 Bryan Rd
Suite 2
Brandon, FL 33511-5342
Phone
(813) 681-4418
Fax
(813) 684-8397
NPI assigned
Oct 15, 2010
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Steven Anthony Wilson, DCNPI 1851382410
Title
Owner
Phone
(813) 681-4418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH004538 FL Primary

Addresses

Primary practice location

303 Bryan Rd
Suite 2
Brandon, FL 33511-5342

Mailing address

303 Bryan Rd
Suite 2
Brandon, FL 33511-5342
Phone (813) 681-4418

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1760792428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BRYAN RD",
            "address_2": "SUITE 2",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115342",
            "telephone_number": "813-681-4418",
            "fax_number": "813-684-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BRYAN RD",
            "address_2": "SUITE 2",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115342",
            "telephone_number": "813-681-4418",
            "fax_number": "813-684-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A. WILSON DC DABCN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-681-4418",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH004538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.