Adam James Woodbeck, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009136 Issued in MI

Practice address

128 W Walled Lake Dr
Walled Lake, MI 48390-3455

Phone

(248) 926-1829

Fax

(248) 926-1837

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakes Chiropractic PLLC

  • Chiropractor
  • Novi, MI
  • NPI 1053593269
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1023081494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W WALLED LAKE DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903455",
            "telephone_number": "248-926-1829",
            "fax_number": "248-926-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W WALLED LAKE DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903455",
            "telephone_number": "248-926-1829",
            "fax_number": "248-926-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBECK",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950F367640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon A West, DPM JD
• Nicole E Westphal
• Rylee Whalen
• Shawn Marie Wiacek, PHARMD
• Paul Witri, LLMSW
• Woodward Detroit CVS, L.L.C.
• Kody James Wright

• Chiropractor in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.