Organization Active NPI

Donald K.Wilson Chiropractic Corporation

  • Orthopedic Chiropractor
  • Davis, CA
National Provider Identifier
1770761413
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
11535 Issued in CA
Legal business name
DONALD K.WILSON CHIROPRACTIC CORPORATION
Practice address
639 Oak Ave
Davis, CA 95616-3626
Phone
(530) 753-2182
Fax
(530) 753-0346
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Dr. Donald Kerry Wilson, D.C
Title
Chiropractor
Phone
(530) 753-2182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 11535 CA Primary

Addresses

Primary practice location

639 Oak Ave
Davis, CA 95616-3626

Mailing address

639 Oak Ave
Davis, CA 95616-3626
Phone (530) 753-2182

National Provider Directory

National Provider Directory

Locations

1340 E Covell Blvd
Ste 105
Davis, CA 95616
Phone (530) 753-2182

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1770761413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 OAK AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163626",
            "telephone_number": "530-753-2182",
            "fax_number": "530-753-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 OAK AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163626",
            "telephone_number": "530-753-2182",
            "fax_number": "530-753-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD K.WILSON CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "KERRY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "530-753-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "11535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.