JOSEPH WILSON (NPI# 1164573085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164573085 |
| Entity Type | Individual |
| Full Name | JOSEPH WILSON |
| Credential | D.C. |
| Practice Address |
755 S Telshor Blvd Ste 102 Las Cruces NM 88011-4688 |
| Mailing Address |
880 S Telshor Blvd Ste 220 Las Cruces NM 88011-8682 |
| Practice Telephone | 5755321116 |
| Practice Fax Number | 5755327050 |
| Mailing Telephone | 5756494964 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 853 | NM | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
4937 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS | 603805 | 01 |
| TX | AETNA | 5677101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1649660069 | Joseph Wilson | Social Worker | 720 Saint Charles St, Moore, OK 73160-6168 | 2015-01-24 |
| 1023241262 | Joseph V Wilson | Audiologist-Hearing Aid Fitter | 909 E. Republic Rd., E-200, Springfield, MO 65807 | 2009-09-03 |
| 1063622421 | Joseph Edward Wilson | Counselor | 623 Oaklawn Ave, Lafayette, LA 70506-3305 | 2007-05-23 |
| 1689891608 | Joseph Robert Wilson | Preventive Medicine | 18531 Henson Blvd # 10-a, Hagerstown, MD 21742-2471 | 2007-04-19 |
| 1205911534 | Joseph Peter Wilson | Social Worker | 23316 Bent Arrow Dr, Clarksburg, MD 20871-4454 | 2006-10-26 |
| 1649367418 | Joseph Carroll Wilson | Counselor | 200 Forest St., Mccall, ID 83638 | 2006-10-05 |
| 1437250560 | Joseph Ross Wilson | Dentist | 2999 Corporate Lane, Suite B-9, Suffolk, VA 23434 | 2006-09-25 |
| 1669070041 | Joseph Wade Wilson | Optometrist | 22 Executive Dr, Tompkinsville, KY 42167-7478 | 2020-10-16 |
| 1679198436 | Joseph H Wilson | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2020-06-08 |
| Street Address |
755 S TELSHOR BLVD STE 102 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598288417 | Nexus Counseling Center, LLC | Counselor | 755 S Telshor Blvd Ste 102, Las Cruces, NM 88011-4688 | 2017-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669949756 | Josh W Larson | Chiropractor | 3530 Foothills Rd Ste G, Las Cruces, NM 88011-3621 | 2018-10-27 |
| 1982964268 | Hawkins Chiropractic Care, LLC | Chiropractor | 2211 North Main St, Ste 6, Las Cruces, NM 88001-1136 | 2012-05-21 |
| 1043529027 | Charles Irvin Lenz | Chiropractor | 1700 E Amador Ave, Suite A, Las Cruces, NM 88001-3119 | 2010-09-24 |
| 1417185489 | Southwest Chiropractic Inc | Chiropractor | 201 S Solano Dr Ste C, Las Cruces, NM 88001-3010 | 2009-06-29 |
| 1205075462 | Jamie R Hawkins | Chiropractor | 3961 E Lohman Ave Ste 22, Las Cruces, NM 88011-8272 | 2009-02-11 |
| 1992950927 | Whole Health Chiropractic Center | Chiropractor | 755 South Telshor Blvd, 102f, Las Cruces, NM 88011 | 2008-11-18 |
| 1598915241 | Bradley Mark Shepherd | Chiropractor | 205 Boutz Road, Building 4 Suite 2, Las Cruces, NM 88005 | 2008-09-30 |
| 1598934408 | Kenneth Mark Romney | Chiropractor | 4500 Chelsea Dr, Las Cruces, NM 88005 | 2008-02-25 |
| 1669678884 | Bones Inc | Chiropractor | 755 Telshor Blvd, #102-b, Las Cruces, NM 88011-4686 | 2007-06-25 |
| 1326244476 | Ryan Gutierrez | Chiropractor | 4131 Camino Coyote, Suite B, Las Cruces, NM 88011-3000 | 2007-06-25 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on JOSEPH WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.