Individual provider Active NPI

Rock A Wooster, DC

  • Chiropractor
  • Heber Springs, AR
National Provider Identifier
1376613273
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16073 Issued in AR
Practice address
106 S 7TH St
Heber Springs, AR 72543-3715
Phone
(501) 365-3306
Fax
(501) 365-3307
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16073 AR Primary

Addresses

Primary practice location

106 S 7TH St
Heber Springs, AR 72543-3715

Mailing address

106 S 7TH St
Heber Springs, AR 72543-3715
Phone (501) 365-3306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314001903 AR Practitioner - Chiropractic 3870565310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 S 7TH St
Heber Springs, AR 72543-3715
Phone (501) 365-3306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16073ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Wooster Chiropractic LLC Rock Chiropractic Chiropractor CurrentSince Jan 10, 2023 Accepting new patients
Memphis Spine and Rehab Center, PLLC PastSince Sep 18, 2017 Accepting new patients

Locations

106 S 7th St
Heber Springs, AR 72543
Phone (501) 362-7538

Organizations & group practices 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1376613273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S 7TH ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433715",
            "telephone_number": "501-365-3306",
            "fax_number": "501-365-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S 7TH ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433715",
            "telephone_number": "501-365-3306",
            "fax_number": "501-365-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOSTER",
        "first_name": "ROCK",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.