Organization Active NPI

Wilber Chiropractic Clinic

  • Chiropractor
  • Lawrenceville, GA
National Provider Identifier
1821263948
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008008890 Issued in GA
Legal business name
WILBER CHIROPRACTIC CLINIC
Practice address
1715 Buford Dr
Lawrenceville, GA 30043-3213
Phone
(770) 277-1650
Fax
(770) 271-0451
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Thomas A Wilber, D.C.
Title
Doctor
Phone
(770) 277-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2008008890 GA Primary

Addresses

Primary practice location

1715 Buford Dr
Lawrenceville, GA 30043-3213

Mailing address

1715 Buford Dr
Lawrenceville, GA 30043-3213
Phone (770) 277-1650

National Provider Directory

National Provider Directory

Locations

3260 Buford Dr
Ste 50
Buford, GA 30519
Phone (770) 277-1650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1821263948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BUFORD DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433213",
            "telephone_number": "770-277-1650",
            "fax_number": "770-271-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BUFORD DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433213",
            "telephone_number": "770-277-1650",
            "fax_number": "770-271-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WILBER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-277-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2008008890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.