Individual provider Active NPI

Roger Brian Woywood, D.C.

  • Chiropractor
  • Live Oak, TX
National Provider Identifier
1376543561
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005130 Issued in TX
Practice address
12702 Toepperwein Rd Ste 140
Live Oak, TX 78233-3267
Phone
(210) 646-9060
Fax
(210) 646-6219
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005130 TX Primary

Addresses

Primary practice location

12702 Toepperwein Rd Ste 140
Live Oak, TX 78233-3267

Mailing address

12702 Toepperwein Rd Ste 140
Live Oak, TX 78233-3267
Phone (210) 646-9060

Other identifiers 2

IdentifierTypeStateIssuer
126018406MedicaidTX
8G2984OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090731000593 TX Practitioner - Chiropractic 0547313991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12702 Toepperwein Rd
Suite 140
Live Oak, TX 78233-3267
Phone (210) 646-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5130TXMDMarriage & Family Therapist
005130TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Integrated Healthcare PLLC PastSince Jan 1, 2016 Accepting new patients
Franklin Chiropractic & Accident Clinics, Inc. Chiropractor PastSince Oct 3, 2016 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1376543561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 140",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333267",
            "telephone_number": "210-646-9060",
            "fax_number": "210-646-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 140",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333267",
            "telephone_number": "210-646-9060",
            "fax_number": "210-646-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYWOOD",
        "first_name": "ROGER",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "005130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126018406",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G2984",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.