Jimmie Nathan Wooten IV, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

10584 Issued in TX

Practice address

816 W McDermott Dr Ste 324
Allen, TX 75013-6505

Phone

(972) 383-9545

Fax

(214) 575-8855

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1295950921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W MCDERMOTT DR STE 324",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136505",
            "telephone_number": "972-383-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W MCDERMOTT DR STE 324",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136505",
            "telephone_number": "972-383-9545",
            "fax_number": "214-575-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "JIMMIE",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "10584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Smiley Woodfin, MD
• Maryann Jewel Woods-Osifo, D.C.
• Aaron Blaine Woods
• Florence Woods, LPC
• Elizabeth Parks Wooten, AU.D.
• Amanda M Worthy
• Shereta Wright
• Brad Wyatt, DMD
• Robert Marc Wycoff, MD
• Elizabeth Wylot, AUD

• Rehabilitation Chiropractor in Allen, TX
• Providers in Allen, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.