Individual provider Active NPI

David M. Wootton, DC

  • Chiropractor
  • Germantown, TN
National Provider Identifier
1497742894
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC385 Issued in TN
Practice address
7730 Wolf River Blvd Ste 112
Germantown, TN 38138-1737
Phone
(901) 756-2424
Fax
(901) 756-7504
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC385 TN Primary

Addresses

Primary practice location

7730 Wolf River Blvd Ste 112
Germantown, TN 38138-1737

Mailing address

7730 Wolf River Blvd Ste 112
Germantown, TN 38138-1737
Phone (901) 756-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402001275 TN Practitioner - Chiropractic 4183616568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1650 Bonnie Lane
Suite 102
Cordova, TN 38016-0516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC385TNMDChiropractor
385TNMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
The Wootton Clinic and Medical Center, P.C. Chiropractor CurrentSince Oct 15, 2007 Accepting new patients

Locations

1650 Bonnie Ln
Ste 102
Cordova, TN 38016
Phone (901) 756-2424

7730 Wolf River Blvd
Ste 112
Germantown, TN 38138
Phone (901) 755-9211

2155 West St
Germantown, TN 38138
Phone (901) 623-3323

Organizations & group practices 1

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1497742894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD STE 112",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381737",
            "telephone_number": "901-756-2424",
            "fax_number": "901-756-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD STE 112",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381737",
            "telephone_number": "901-756-2424",
            "fax_number": "901-756-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTTON",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.