Active NPI
Robert Scott Woodhall, D.C.
- Chiropractor
- Grass Valley, CA
National Provider Identifier
1417266917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23143
- Practice address
- 227 Colfax Ave
Grass Valley, CA 95945-6843 - Phone
- (530) 273-7988
- Fax
- (530) 273-7993
- NPI assigned
- Sep 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC23143 | CA | Primary |
Addresses
Primary practice location
227 Colfax Ave
Grass Valley, CA 95945-6843
Mailing address
13002 Chances R Rd
Penn Valley, CA 95946-9435
Phone (530) 273-7988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104000731 | CA | Practitioner - Chiropractic | 7315249695 | Practice locations: Grass Valley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
227 Colfax Ave
Grass Valley, CA 95945-6843
Phone (530) 273-7988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC23143 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1417266917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13002 CHANCES R RD",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959469435",
"telephone_number": "530-273-7988",
"fax_number": "530-273-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 COLFAX AVE",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456843",
"telephone_number": "530-273-7988",
"fax_number": "530-273-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODHALL",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-30",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.