Active NPI
Wilson-Jacob Fisher, DC
- Chiropractor
- Denver, CO
National Provider Identifier
1780201970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0008222
- Practice address
- 1313 S Clarkson St Ste 1
Denver, CO 80210-2284 - Phone
- (303) 744-7100
- NPI assigned
- Jul 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9092 | AZ | |
| Chiropractor | 111N00000X | CHR.0008222 | CO | Primary |
Addresses
Primary practice location
1313 S Clarkson St Ste 1
Denver, CO 80210-2284
Mailing address
8600 E Rockcliff Rd
Tucson, AZ 85750-9729
Phone (906) 250-6801
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 |
|---|---|---|---|
| 9092 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1780201970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 E ROCKCLIFF RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857509729",
"telephone_number": "906-250-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 S CLARKSON ST STE 1",
"city": "DENVER",
"state": "CO",
"postal_code": "802102284",
"telephone_number": "303-744-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "WILSON-JACOB",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "9092",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0008222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.