Active NPI
Samuel Wade Wilkey, D.C.
- Chiropractor
- Bowling Green, KY
National Provider Identifier
1780717785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3714
- Practice address
- 2145 Nashville Rd
Bowling Green, KY 42101-3870 - Phone
- (270) 781-1111
- Fax
- (270) 781-4935
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3714 | KY | Primary |
Addresses
Primary practice location
2145 Nashville Rd
Bowling Green, KY 42101-3870
Mailing address
2145 Nashville Rd
Bowling Green, KY 42101-3870
Phone (270) 781-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051213000193 | KY | Practitioner - Chiropractic | 0042231557 | Practice locations: Bowling Green, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1780717785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 NASHVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421013870",
"telephone_number": "270-781-1111",
"fax_number": "270-781-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 NASHVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421013870",
"telephone_number": "270-781-1111",
"fax_number": "270-781-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKEY",
"first_name": "SAMUEL",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "3714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.