Organization Active NPI

Woodcock Chiropractic Clinic

  • Radiology Chiropractor
  • Guilford, VT
National Provider Identifier
1184745978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
0060000767 Issued in VT
Legal business name
WOODCOCK CHIROPRACTIC CLINIC
Practice address
491 Coolidge Hwy
Guilford, VT 05301-8015
Phone
(802) 254-8335
Fax
(802) 257-0993
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gayle A Higley
Title
Office MGR
Phone
(802) 254-8335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X 0060000767 VT Primary
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X 0060000577 VT

Addresses

Primary practice location

491 Coolidge Hwy
Guilford, VT 05301-8015

Mailing address

491 Coolidge Hwy
Guilford, VT 05301-8015
Phone (802) 254-8335

Other identifiers 1

IdentifierTypeStateIssuer
0352966OtherVTBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184745978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 COOLIDGE HWY",
            "city": "GUILFORD",
            "state": "VT",
            "postal_code": "053018015",
            "telephone_number": "802-254-8335",
            "fax_number": "802-257-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 COOLIDGE HWY",
            "city": "GUILFORD",
            "state": "VT",
            "postal_code": "053018015",
            "telephone_number": "802-254-8335",
            "fax_number": "802-257-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODCOCK CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIGLEY",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "802-254-8335"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "VT",
            "license": "0060000767",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "VT",
            "license": "0060000577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0352966",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.