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DR. JAMES RAYMOND WILSON D.C.
NPI 1417023474
Chiropractor in Lodi, CA

Active since November 28, 2006
2000 W KETTLEMAN LN, SUITE 104, LODI, CA 95242(209) 334-6947(209) 334-6969 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Raymond Wilson D.c. NPPES

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

DR. JAMES RAYMOND WILSON D.C. (NPI 1417023474) is an individual chiropractor in Lodi, California, licensed in California (DC30022) and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2005).

NPPES Registry Identity

NPI1417023474
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JAMES RAYMOND WILSONCredential: D.C.
Location Address2000 W KETTLEMAN LN, SUITE 104Lodi, CA 95242-4334
Mailing AddressPo Box 986Woodbridge, CA 95258-0986 · (209) 339-9036 · Fax (209) 339-1901
Phone(209) 334-6947
Fax(209) 334-6969
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2005
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 21, 2009
✔ NPI 1417023474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC30022
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.
2000 W KETTLEMAN LN, Lodi, CA 95242
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Other Identifiers 2

Medicare PINDC0300220CA
Medicare UPINDC0300220CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7911909114
PECOS Enrollment IDI20070131000602

Medicare Billing Reassignment

Medicare enrollment records show James Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wilson & Allen Chiropractic Corporation
2.3 mi
Chiropractor
2000 W KETTLEMAN LN STE 104
Lodi, CA 95242
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1083201347 (209) 334-6947

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
712 services59 patients
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.
556 services83 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW ROWERDINK
Physical Therapist
2000 W KETTLEMAN LN
LODI, CA 95242
San Joaquin County (209) 207-0849
DR. FRANKLIN OTTO BERNHOFT PH.D.
Psychologist (Counseling)
2000 W KETTLEMAN LN, SUITE 103
LODI, CA 95242
San Joaquin County (209) 366-1516
EXCEL REHAB PHYSICAL THERAPY INC
Clinic/Center (Physical Therapy)
2000 W KETTLEMAN LN, 106
LODI, CA 95242
San Joaquin County (209) 207-0849
GABRIEL ENESCU PT
Physical Medicine & Rehabilitation (Sports Medicine)
2000 W KETTLEMAN LN
LODI, CA 95242
San Joaquin County (916) 716-2034

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 James Wilson's NPI number?

The NPI number for James Wilson is 1417023474. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is James Wilson located?

James Wilson practices at 2000 W Kettleman Ln Suite 104, Lodi, CA 95242. The listed phone number is (209) 334-6947.

What is James Wilson's specialty?

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

Is James Wilson enrolled in Medicare?

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

Which organization bills Medicare for James Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Wilson reassigns Medicare benefits to Wilson & Allen Chiropractic Corporation (Lodi, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Wilson was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.