Active NPI
Gary Wilson, DC
- Chiropractor
- Hayward, CA
National Provider Identifier
1881079572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33335
- Practice address
- 23701 Carlson CT
Hayward, CA 94541-4592 - Phone
- (303) 501-6560
- NPI assigned
- Jul 23, 2015
- 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 | 33335 | CA | Primary |
Addresses
Primary practice location
23701 Carlson CT
Hayward, CA 94541-4592
Mailing address
PO Box 3922
Berkeley, CA 94703-0922
Phone (303) 501-6560
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1881079572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3922",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947030922",
"telephone_number": "303-501-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23701 CARLSON CT",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414592",
"telephone_number": "303-501-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.