Individual provider Active NPI

Justin James Woodside, D.C.

  • Chiropractor
  • Snowflake, AZ
National Provider Identifier
1306005327
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7921 Issued in AZ
Practice address
1300 S Main St Ste a
Snowflake, AZ 85937-5662
Phone
(928) 536-5525
Fax
(928) 484-6070
NPI assigned
Jun 5, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7921 AZ Primary

Addresses

Primary practice location

1300 S Main St Ste a
Snowflake, AZ 85937-5662

Mailing address

1300 S Main St
Ste a
Snowflake, AZ 85937-5662
Phone (928) 536-5525

Other practice location 1

18761 N Reems Rd Ste 400
Surprise, AZ 85374-8646
Phone (623) 583-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000581 AZ Practitioner - Chiropractic 0840358222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Medical Center Snowflake PLLCGroup PAC ID 6608116405, 3 clinicians

Practice addresses (Care Compare)

1300 S Main St
Snowflake, AZ 85937-5661
Phone (928) 536-5525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Medical Center Snowflake, PLLC CurrentSince Jan 19, 2019 Accepting new patients
Balanced Approach Family Wellness, PLC Chiropractor Past Accepting new patients
Compass Medical Center Montrose LLC PastSince Dec 1, 2020 Accepting new patients
Compass Medical Center Safford PLLC PastSince Jan 19, 2019 Accepting new patients
Compass Medical Center PLLC PastSince Mar 29, 2018 Accepting new patients
Compass Medical DME PLLC PastSince Jan 19, 2019 Accepting new patients
Compass Medical Center Clifton PastSince Apr 15, 2023 Accepting new patients
Neuropathy Center of the White Mountains PastSince Mar 29, 2021 Accepting new patients
Compass Medical Colorado DME PLLC PastSince Jan 19, 2019 Accepting new patients
Compass Medical Center PLLC Past Accepting new patients
Array Medical DME PLLC PastSince Jan 19, 2019 Accepting new patients
Western Slope Mobile Wound Care PastSince Oct 15, 2024 Accepting new patients

Locations

1300 S Main St
Snowflake, AZ 85937
Phone (928) 536-5525

1300 S Main St
Ste A
Snowflake, AZ 85937
Phone (928) 536-5525

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17855/brand/1/csg/1/fhir/r4

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306005327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST",
            "address_2": "STE A",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375662",
            "telephone_number": "928-536-5525",
            "fax_number": "928-536-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MAIN ST STE A",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375662",
            "telephone_number": "928-536-5525",
            "fax_number": "928-484-6070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18761 N Reems Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748646",
            "country_code": "US",
            "telephone_number": "623-583-9180",
            "fax_number": "623-583-2871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snowflake, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.