Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jay Wilson DC PC

Organization Exclusive Provider Organization · NPI 1053638049

Jay Wilson DC PC is an Exclusive Provider Organization in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2010.

Licensed in
CO
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1455 Yarmouth Ave Ste 112
Boulder, CO 80304-4345
Phone: (303) 449-7414
Fax: (303) 449-2147
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence 2311 (CO)

Record details

NPI number1053638049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Wilson — Owner · (303) 449-7414
NPI enumeratedApril 29, 2010
Last updated in NPPESApril 29, 2010
Mailing address1455 Yarmouth Ave Ste 112, Boulder, CO 80304-4345

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