Jason Andrew Wilson, L.AC. M.S.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.000780 Issued in IL

Practice address

14785 W 101St Ave # 101
Dyer, IN 46311-3371

Phone

(219) 689-5563

Fax

(219) 979-5253

NPI assigned

Jun 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Alternative Healing Works LLC

  • Acupuncturist
  • Dyer, IN
  • NPI 1710203039
  NPD Authorized official
• Continuim Wellness, LLC.

  • Medical Specialty Clinic/Center
  • Dyer, IN
  • NPI 1578170486
  NPD Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1861651663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 W 101ST AVE # 101",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113371",
            "telephone_number": "219-689-5563",
            "fax_number": "219-979-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 W 101ST AVE # 101",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463113371",
            "telephone_number": "219-689-5563",
            "fax_number": "219-979-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "credential": "L.AC. M.S.O.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert White Jr., MD
• Joyce A White, LCSW
• Elnora A Whyte
• Amie Christine Wilberg, RN
• Brian Marshon Wilkins
• Brenda G Winkler, M.A.
• Crystal Lyn Wojcinski
• Heather Christine Wolf, LCPC
• Geraldine Wolff
• Tanya Wolff, RD, LDN

• Acupuncturist in Dyer, IN
• Providers in Dyer, IN by specialty
• Acupuncturist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.