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DR. JEFFREY DETERICK WILCOCK DC
NPI 1912172883
Chiropractor in Mesa, AZ

Active since April 23, 2008
420 E SOUTHERN SUITE 101, MESA, AZ 85204(480) 223-9595(480) 833-3299 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey Deterick Wilcock Dc NPPES

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

DR. JEFFREY DETERICK WILCOCK DC (NPI 1912172883) is an individual chiropractor in Mesa, Arizona, licensed in Arizona (7363) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1912172883
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFFREY DETERICK WILCOCKCredential: DC
Location Address420 E SOUTHERN SUITE 101Mesa, AZ 85204
Mailing Address1726 E Thomas RdPhoenix, AZ 85016-7604 · (602) 222-9595 · Fax (602) 234-1211
Phone(480) 223-9595
Fax(480) 833-3299
Sole ProprietorNo
Enumeration DateApril 23, 2008
Last NPPES UpdateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1912172883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 7363
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.
420 E SOUTHERN SUITE 101, Mesa, AZ 85204
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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 Jeffrey Wilcock's NPI number?

The NPI number for Jeffrey Wilcock is 1912172883. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Jeffrey Wilcock located?

Jeffrey Wilcock practices at 420 E Southern Suite 101, Mesa, AZ 85204. The listed phone number is (480) 223-9595.

What is Jeffrey Wilcock'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 Jeffrey Wilcock was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.