Active NPI
Richard C Wood, D.C.
- Chiropractor
- White Oak, TX
National Provider Identifier
1023199692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC4715
- Practice address
- 202 E US Highway 80 Ste 3
White Oak, TX 75693-2104 - Phone
- (903) 759-4778
- Fax
- (903) 297-8031
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC4715 | TX | Primary |
Addresses
Primary practice location
202 E US Highway 80 Ste 3
White Oak, TX 75693-2104
Mailing address
202 E US Highway 80 Ste 3
White Oak, TX 75693-2104
Phone (903) 759-4778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014151-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC4715 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1023199692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E US HIGHWAY 80 STE 3",
"city": "WHITE OAK",
"state": "TX",
"postal_code": "756932104",
"telephone_number": "903-759-4778",
"fax_number": "903-297-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E US HIGHWAY 80 STE 3",
"city": "WHITE OAK",
"state": "TX",
"postal_code": "756932104",
"telephone_number": "903-759-4778",
"fax_number": "903-297-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "RICHARD",
"middle_name": "C",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC4715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014151-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.