Marcus William Woodall, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034451 Issued in WA

Practice address

106 Cascade Ave Unit 103
Granite Falls, WA 98252-8818

Phone

(206) 391-8134

Fax

(360) 435-1105

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Granite Falls Community Chiropractic PLLC

  • Chiropractor
  • Granite Falls, WA
  • NPI 1992453856
  Medicare reassignment NPD Authorized official
• Chiro One Wellness Center of Arlington PLLC

  • Chiropractor
  • Arlington, WA
  • NPI 1912668211
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1053361774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CASCADE AVE UNIT 103",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528818",
            "telephone_number": "206-391-8134",
            "fax_number": "360-435-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CASCADE AVE UNIT 103",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528818",
            "telephone_number": "206-391-8134",
            "fax_number": "360-435-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "MARCUS",
        "middle_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Viera, LMT
• Kristi Ann Vitale I, LMP
• Lisa Marie Wasicki, RN
• Terry Wilkins
• Toby Ann Williams, LMP
• Lindsay Alyse Wright
• Brandon Nik-Son Yeung

• Chiropractor in Granite Falls, WA
• Providers in Granite Falls, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.