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DR. COLT WYATT WILDE DC
NPI 1972000271
Chiropractor in Greensboro, NC

Active since April 12, 2018Accepts Medicare Assignment
3410 W WENDOVER AVE, GREENSBORO, NC 27407(336) 274-3500(336) 292-1928 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Colt Wyatt Wilde Dc NPPES

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

DR. COLT WYATT WILDE DC (NPI 1972000271) is an individual chiropractor in Greensboro, North Carolina, licensed in North Carolina (4797) and active in the NPI registry since April 2018. He is a graduate of Life Chiropractic College (2017).

NPPES Registry Identity

NPI1972000271
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. COLT WYATT WILDECredential: DC
Location Address3410 W WENDOVER AVEGreensboro, NC 27407-1590
Mailing Address3410 W Wendover AveGreensboro, NC 27407-1590 · (336) 274-3500
Phone(336) 274-3500
Fax(336) 292-1928
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2017
Enumeration DateApril 12, 2018
✔ NPI 1972000271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 4797
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.
3410 W WENDOVER AVE, Greensboro, NC 27407
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Colt Wyatt Wilde Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204191125
PECOS Enrollment IDI20180524001431

Other Providers at the Same Location NPPES 2

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

JIMMY ALBERT BURLESON DC
Chiropractor
3410 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 274-3500
GYS CHIRO INC
Chiropractor
3410 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 274-3500

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 Colt Wilde's NPI number?

The NPI number for Colt Wilde is 1972000271. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Colt Wilde located?

Colt Wilde practices at 3410 W Wendover Ave, Greensboro, NC 27407. The listed phone number is (336) 274-3500.

What is Colt Wilde's specialty?

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

Is Colt Wilde enrolled in Medicare?

Yes. Colt Wilde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colt Wilde accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Colt Wilde 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 Colt Wilde was last updated on April 12, 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.