Organization Active NPI

Woodland Chiropractic and Wellness

  • Chiropractor
  • Woodland, CA
National Provider Identifier
1053771071
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12779 Issued in CA
Legal business name
WOODLAND CHIROPRACTIC AND WELLNESS
Practice address
3 Court St
Woodland, CA 95695-3111
Phone
(530) 666-5551
Fax
(530) 666-5577
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Dr. James W Newell
Title
Co Owner
Phone
(530) 666-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12779 CA Primary

Addresses

Primary practice location

3 Court St
Woodland, CA 95695-3111

Mailing address

3 Court St
Woodland, CA 95695-3111
Phone (530) 666-5551

Other identifiers 4

IdentifierTypeStateIssuer
1053771071OtherCAUNITED HEALTHCARE
1053771071OtherCABLUE SHIELD OF CALIFORNIA
1053771071OtherCAANTHEM BLUE CROSS
1053771071MedicaidCA

National Provider Directory

National Provider Directory

Locations

221 W Court St
Ste 7
Woodland, CA 95695
Phone (530) 666-5551

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": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1053771071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COURT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953111",
            "telephone_number": "530-666-5551",
            "fax_number": "530-666-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COURT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953111",
            "telephone_number": "530-666-5551",
            "fax_number": "530-666-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "530-666-5551",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1053771071",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "1053771071",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "1053771071",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053771071",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.