NPIMap

Organization Active NPI

Woodrow W. Gwinn Jr.

Doing business as Madisonville Chiropractic Clinic

  • Chiropractor
  • Madisonville, TN
National Provider Identifier
1396880951
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000336 Issued in TN
Legal business name
WOODROW W. GWINN JR.
Doing business as
Madisonville Chiropractic Clinic
Practice address
3912 Highway 411
Madisonville, TN 37354-4428
Phone
(423) 442-4153
Fax
(423) 442-9632
NPI assigned
Feb 21, 2007
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Dr. Woodrow W Gwinn Jr., D.C.NPI 1083615553
Title
Owner
Phone
(865) 977-0916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000000336 TN Primary

Addresses

Primary practice location

3912 Highway 411
Madisonville, TN 37354-4428

Mailing address

1812 E Lamar Alexander Pkwy
Maryville, TN 37804-5283
Phone (865) 977-0916

Other identifiers 1

IdentifierTypeStateIssuer
3723209MedicaidTN

Other names 1

  • Madisonville Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Knoxville Chiropractic Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3912 Highway 411
Madisonville, TN 37354
Phone (423) 442-4153

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1396880951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045283",
            "telephone_number": "865-977-0916",
            "fax_number": "865-984-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373544428",
            "telephone_number": "423-442-4153",
            "fax_number": "423-442-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODROW W. GWINN JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "GWINN",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-977-0916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723209",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madisonville Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.