Michael Craig Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104695 Issued in KS

Practice address

3161 W Maple St
Wichita, KS 67213-2423

Phone

(316) 942-9600

Fax

(316) 351-6408

NPI assigned

May 4, 2006

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Michael Craig Wilson Professional name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Chiropractor LLC

  • Chiropractor
  • Wichita, KS
  • NPI 1558753319
  NPD (past) Authorized official
• Reno Chiropractic Clinic, P.a.

  • Chiropractor
  • Wichita, KS
  • NPI 1104884105
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1780632711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132423",
            "telephone_number": "316-942-9600",
            "fax_number": "316-351-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132423",
            "telephone_number": "316-942-9600",
            "fax_number": "316-351-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104695",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "0104695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "WILSON",
            "middle_name": "CRAIG",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jodi L Wilson, SLP
• Karen E Wilson, P.T.
• Katherine Wilson
• Lisa M Wilson, ARNP
• Lorena Ruth Wilson, L.AC.
• Nancy Gail Wilson, PT
• Nora A Wilson
• Peggy A Wilson
• Rose Wilson, RPH
• Sara Wilson

• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.