Individual provider Active NPI

Richard Woolley, D.C.

  • Chiropractor
  • Wasilla, AK
National Provider Identifier
1023475340
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
110663 Issued in AK
Practice address
1700 E Bogard Rd Ste A200
Wasilla, AK 99654-6569
Phone
(907) 726-3668
NPI assigned
Jan 16, 2016
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 110663 AK Primary

Addresses

Primary practice location

1700 E Bogard Rd Ste A200
Wasilla, AK 99654-6569

Mailing address

1700 E Bogard Rd Ste A200
Wasilla, AK 99654-6569
Phone (907) 726-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627001993 AK Practitioner - Chiropractic 6507162534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arctic Chiropractic East Mat-Su LLCGroup PAC ID 5193001600, 8 clinicians

Practice addresses (Care Compare)

1734 N Prospect Dr
Palmer, AK 99645-9655
Phone (907) 746-7842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Center LLC Chiropractor CurrentSince Mar 11, 2019 Accepting new patients
Summit Chiropractic LLC Chiropractor CurrentSince Jan 23, 2017 Accepting new patients
Arctic Chiropractic East Mat-Su LLC Chiropractor CurrentSince Jun 1, 2021 Accepting new patients
Arctic Medical Center Matsu CurrentSince Jun 1, 2021 Accepting new patients
Sports Injury Chiropractic Chiropractor Current Accepting new patients

Locations

3330 Eagle St
Anchorage, AK 99503
Phone (907) 501-2330

1929 Airport Way
Fairbanks, AK 99701
Phone (907) 479-0036

753 Gaffney Rd
Fairbanks, AK 99701
Phone (907) 451-7246

1150 S Colony Way
Ste 3
Palmer, AK 99645

1700 E Bogard Rd
Ste A200
Wasilla, AK 99654
Phone (907) 290-9595

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1023475340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD STE A200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546569",
            "telephone_number": "907-726-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD STE A200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546569",
            "telephone_number": "907-726-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-16",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "110663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.