West Texas Back Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC5128 Issued in TX

Legal business name

WEST TEXAS BACK CLINIC, P.C.

Practice address

1750 S Clack St
Abilene, TX 79605-4611

Phone

(325) 695-2225

Fax

(325) 695-3769

NPI assigned

Mar 12, 2007

Last updated

Mar 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Dale Wofford, D.C.NPI 1932188646

Title

Owner

Phone

(325) 695-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Dale Wofford, D.C.

  • Chiropractor
  • Abilene, TX
  • NPI 1932188646
  Medicare reassignment Care Compare group Authorized official
• Ryan Bailey, D.C.

  • Chiropractor
  • Abilene, TX
  • NPI 1972843241
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1073645172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054611",
            "telephone_number": "325-695-2225",
            "fax_number": "325-695-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054611",
            "telephone_number": "325-695-2225",
            "fax_number": "325-695-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS BACK CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "WOFFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-695-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00L89B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Michelle Werner, SLP
• Scott Lawrence Werner, P.T.
• Wesley Court Methodist Retirement Community
• Wesley Court, LLC (Wesley Court Health Center)
• West Texas Autism Center
• West Texas Home Infusion Company LLC
• West Texas Hospital, LTD (West Texas Hospital)
• West Texas Lung Clinic PA
• West Texas Radiology Group, PA
• West Texas Rehabilitation Center (Rehab Sport Center)

• Chiropractor in Abilene, TX
• Providers in Abilene, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.