Wood Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4911 Issued in KY

Legal business name

WOOD CHIROPRACTIC CENTER, INC.

Practice address

220 Frankfort St
Suite 4
Versailles, KY 40383-1079

Phone

(859) 873-2077

Fax

(859) 873-2077

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Brandon Lucas WoodNPI 1811917966

Title

President

Phone

(859) 873-2077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Brandon Lucas Wood, D.C.

  • Chiropractor
  • Versailles, KY
  • NPI 1811917966
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1174662662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FRANKFORT ST",
            "address_2": "SUITE 4",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831079",
            "telephone_number": "859-873-2077",
            "fax_number": "859-873-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FRANKFORT ST",
            "address_2": "SUITE 4",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831079",
            "telephone_number": "859-873-2077",
            "fax_number": "859-873-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-873-2077"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003903",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Williams
• Courtney Williams
• Jaclynn Anderson Williams, R.D.
• Taylor Morgan Wilson
• Jaime Wogerman, RN, BSN
• Brandon Lucas Wood, D.C.
• Woodford County
• Woodford County Board of Education
• Woodford County Health Department
• Woodford Family Chiropractic LLC

• Chiropractor in Versailles, KY
• Providers in Versailles, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.