Individual provider Active NPI

Christian Wooldridge, DC

  • Chiropractor
  • Kyle, TX
National Provider Identifier
1063922243
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13312 Issued in TX
Practice address
102 S Meyer St
Kyle, TX 78640-5686
Phone
(512) 268-2273
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13312 TX Primary

Addresses

Primary practice location

102 S Meyer St
Kyle, TX 78640-5686

Mailing address

102 S Meyer St
Kyle, TX 78640-5686
Phone (512) 268-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604001132 TX Practitioner - Chiropractic 4385053701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 S Meyer St
Kyle, TX 78640-5686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13312TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hernandez & Wooldridge, LLC Chiropractor CurrentSince Mar 3, 2021 Accepting new patients
Brenan S Langley DC PLLC Chiropractor CurrentSince Jun 29, 2025 Accepting new patients
Hernandez & Wooldridge Bee Cave, LLC Chiropractor PastSince Dec 23, 2020 Accepting new patients

Locations

102 S Meyer St
Kyle, TX 78640
Phone (512) 268-2273

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1063922243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MEYER ST",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405686",
            "telephone_number": "512-268-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MEYER ST",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405686",
            "telephone_number": "512-268-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.