Active NPI
Craig M Wilson, DC
- Chiropractor
- Lebanon, PA
National Provider Identifier
1942218987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003429L
- Practice address
- 624 N Ninth Street
Family Care Chiropractic
Lebanon, PA 17046 - Phone
- (717) 272-1400
- Fax
- (717) 272-1400
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC003429L | PA | Primary |
Addresses
Primary practice location
624 N Ninth Street
Family Care Chiropractic
Lebanon, PA 17046
Mailing address
624 N Ninth Street
Family Care Chiropractic
Lebanon, PA 17046
Phone (717) 272-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1522453 | Other | PA | GATEWAY |
| 195212 | Other | PA | BS HIGHMARK |
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": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942218987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 N NINTH STREET",
"address_2": "FAMILY CARE CHIROPRACTIC",
"city": "LEBANON",
"state": "PA",
"postal_code": "17046",
"telephone_number": "717-272-1400",
"fax_number": "717-272-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 N NINTH STREET",
"address_2": "FAMILY CARE CHIROPRACTIC",
"city": "LEBANON",
"state": "PA",
"postal_code": "17046",
"telephone_number": "717-272-1400",
"fax_number": "717-272-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CRAIG",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003429L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1522453",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS HIGHMARK",
"identifier": "195212",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.