Dr. William K. Wooten, D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002476 Issued in MI

Legal business name

DR. WILLIAM K. WOOTEN, D.C. P.C.

Practice address

5815 Red Arrow Hwy
Stevensville, MI 49127-1142

Phone

(269) 429-5882

Fax

(269) 429-9441

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By 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. William K Wooten, D.C.NPI 1548392814

Title

President

Phone

(269) 429-5882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

• William Keith Wooten, D.C.

  • Chiropractor
  • Stevensville, MI
  • NPI 1548392814
  Medicare reassignment NPD Authorized official
• Kimber Wooten-Toering, D.C.

  • Chiropractor
  • Stevensville, MI
  • NPI 1881193027
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1194001537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271142",
            "telephone_number": "269-429-5882",
            "fax_number": "269-429-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271142",
            "telephone_number": "269-429-5882",
            "fax_number": "269-429-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WILLIAM K. WOOTEN, D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-429-5882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle M Cornforth, NP
• Phil Joseph Demeulenaere III, RPH
• Dawn R Diggs, LPC
• Elizabeth RL Douce, MD
• Dr Melanie J Jones Optometrist PC
• Anne Dudley, D.O.
• Denise G Durak, PSYD
• Joel David Duran, PT, DPT
• Krista Hansen Elkins, LLPC
• Brian Facione, D.O.

• Chiropractor in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.