Individual provider Active NPI

Robert Scott Woodhall, D.C.

  • Chiropractor
  • Grass Valley, CA
National Provider Identifier
1417266917
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23143 Issued in CA
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

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC23143CAMDChiropractor

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.

Verify at the official NPI Registry.