Organization Active NPI

Woosley Chiropractic Rehabilitation

  • Chiropractor
  • Goodlettsville, TN
National Provider Identifier
1043248685
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC539 Issued in TN
Legal business name
WOOSLEY CHIROPRACTIC REHABILITATION
Practice address
913 Conference Dr
#104
Goodlettsville, TN 37072-1991
Phone
(615) 859-6644
Fax
(615) 859-5577
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Charlton A WoosleyNPI 1154502680
Title
Chiropractor
Phone
(615) 859-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC539 TN Primary

Addresses

Primary practice location

913 Conference Dr
#104
Goodlettsville, TN 37072-1991

Mailing address

913 Conference Dr
#104
Goodlettsville, TN 37072
Phone (615) 859-6644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110928000574 TN Part B Supplier - Clinic/Group Practice 1456522150 Receives reassigned benefits from 2 practitioners
Practice locations: Goodlettsville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1043248685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 CONFERENCE DR",
            "address_2": "#104",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "37072",
            "telephone_number": "615-859-6644",
            "fax_number": "615-859-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 CONFERENCE DR",
            "address_2": "#104",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721991",
            "telephone_number": "615-859-6644",
            "fax_number": "615-859-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOSLEY CHIROPRACTIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "WOOSLEY",
        "authorized_official_first_name": "CHARLTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "615-859-6644",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.