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DR. RON CLYDE WILSON D.C.
NPI 1003954645
Chiropractor in Mesa, AZ

Active since February 04, 2007
3654 N POWER RD STE 143, MESA, AZ 85215(480) 396-8665 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2018, Jun 28, 2018 (2 updates tracked since 2018).

About Dr. Ron Clyde Wilson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RON CLYDE WILSON D.C. (NPI 1003954645) is an individual chiropractor in Mesa, Arizona, licensed in Arizona (4036) and active in the NPI registry since February 2007. He is a graduate of National College Of Chiropractic (1978).

NPPES Registry Identity

NPI1003954645
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RON CLYDE WILSONCredential: D.C.
Location Address3654 N POWER RD STE 143Mesa, AZ 85215
Mailing Address3654 N Power Rd Ste 143Mesa, AZ 85215-9793 · (480) 396-8665 · Fax (480) 396-6324
Phone(480) 396-8665
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 1978
Enumeration DateFebruary 4, 2007
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
✔ NPI 1003954645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 4036
Definition
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.
3654 N POWER RD STE 143, Mesa, AZ 85215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ron Clyde Wilson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234158502
PECOS Enrollment IDI20051116000096

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
400 services48 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ron Wilson's NPI number?

The NPI number for Ron Wilson is 1003954645. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Ron Wilson located?

Ron Wilson practices at 3654 N Power Rd Ste 143, Mesa, AZ 85215. The listed phone number is (480) 396-8665.

What is Ron Wilson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ron Wilson enrolled in Medicare?

Yes. Ron Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ron Wilson was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.