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DR. JARED WILSON D.C.
NPI 1104059104
Chiropractor - Sports Physician in Little Elm, TX

Active since August 25, 2009
1150 E ELDORADO PKWY STE 300, LITTLE ELM, TX 75068(972) 292-9863(972) 292-9861 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Mar 24, 2020 (2 updates tracked since 2020).

About Dr. Jared Wilson D.c. NPPES

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

DR. JARED WILSON D.C. (NPI 1104059104) is an individual sports physician in Little Elm, Texas, licensed in Texas (15157) and active in the NPI registry since August 2009. He maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1104059104
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. JARED WILSONCredential: D.C.
Location Address1150 E ELDORADO PKWY STE 300Little Elm, TX 75068-5504
Mailing Address1150 E Eldorado Pkwy Ste 300Little Elm, TX 75068-5504 · (972) 292-9863 · Fax (972) 292-9861
Phone(972) 292-9863
Fax(972) 292-9861
Sole ProprietorNo
Enumeration DateAugust 25, 2009
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1104059104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Licenses✔ Licensed in TX · 15157✔ Licensed in OR · 3956
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractorTaxonomy 111N00000X · License 3956 (OR)
1150 E ELDORADO PKWY STE 300, Little Elm, TX 75068
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Secondary Practice Location 1

Location 1498 Harlow Rd Ste 3Springfield, OR 97477-1339 · Phone (541) 341-1414 · Fax (541) 653-8570

Other Identifiers 1

Medicaid500707661OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

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 Jared Wilson's NPI number?

The NPI number for Jared Wilson is 1104059104. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Jared Wilson located?

Jared Wilson practices at 1150 E Eldorado Pkwy Ste 300, Little Elm, TX 75068. The listed phone number is (972) 292-9863.

What is Jared Wilson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

What insurance does Jared Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 2 other insurers list Jared Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Wilson was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.