DR. MICHAEL R WILD D.C.
NPI 1477623858
Chiropractor in Richmond, VA

Active since November 09, 2006
3460 LAUDERDALE DR, RICHMOND, VA 23233(804) 360-2273(804) 360-7996 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael R Wild D.c. NPPES

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

DR. MICHAEL R WILD D.C. (NPI 1477623858) is an individual chiropractor in Richmond, Virginia, licensed in Virginia (0104001090) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1477623858
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL R WILDCredential: D.C.
Location Address3460 LAUDERDALE DRRichmond, VA 23233-7529
Mailing Address3460 Lauderdale DrRichmond, VA 23233-7529 · (804) 360-2273 · Fax (804) 360-7996
Fax(804) 360-7996
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateJune 19, 2008
NPI 1477623858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in VA · 0104001090
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.
3460 LAUDERDALE DR, Richmond, VA 23233

Other Identifiers 4

Other54 1910925VA · Tax Id
Medicare PIN00W487W87VA
Other181767VA · Bcbs
Medicare UPINU44197VA

Other Providers at the Same Location NPPES 3

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

Chiropractor
3460 LAUDERDALE DR
RICHMOND, VA 23233
Clinic/Center (Urgent Care)
3460 LAUDERDALE DR
HENRICO, VA 23233
Pediatrics
3460 LAUDERDALE DR
HENRICO, VA 23233

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 Michael Wild's NPI number?

The NPI number for Michael Wild is 1477623858. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Michael Wild located?

Michael Wild practices at 3460 Lauderdale Dr, Richmond, VA 23233. The listed phone number is (804) 360-2273.

What is Michael Wild's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Wild was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.