Roy Doyle Wilkins, D.C., DABCN

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

3836 Issued in AZ

Practice address

1553 Autumnwood Rd
Lakeside, AZ 85929-6994

Phone

(928) 368-3965

Fax

(928) 358-4601

NPI assigned

Jul 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Compass Medical Center PLLC

  • General Practice Physician
  • Snowflake, AZ
  • NPI 1811387285
  NPD

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1982127072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 AUTUMNWOOD RD",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296994",
            "telephone_number": "928-368-3977",
            "fax_number": "928-358-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 AUTUMNWOOD RD",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296994",
            "telephone_number": "928-368-3965",
            "fax_number": "928-358-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "ROY",
        "middle_name": "DOYLE",
        "credential": "D.C., DABCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "3836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASH",
            "identifier": "DC3836",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• White Mountain Medical Consultants LLC
• White Mountain Pediatrics, PC
• White Mountain Psychological Services, LTD
• White Mountain Sleep Lab, Inc
• Jesse Wilcock, OTR/L
• Erin Willoby
• Women First GYN PLLC

• Neurology Chiropractor in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Neurology Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.