Individual provider Active NPI

Jeffrey W. Wood, DC FIACA

  • Chiropractor
  • Arkansas City, KS
National Provider Identifier
1508898883
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04065 Issued in KS
Practice address
426 N a St
Arkansas City, KS 67005-2208
Phone
(620) 442-8900
Fax
(620) 442-8927
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-04065 KS Primary

Addresses

Primary practice location

426 N a St
Arkansas City, KS 67005-2208

Mailing address

426 N a St
Arkansas City, KS 67005-2208
Phone (620) 442-8900

Other identifiers 5

IdentifierTypeStateIssuer
660023OtherKSMEDICARE/ PTAN/ BCBS
DA1482OtherKSRAILROAD MEDICARE
060917OtherKSKS BCBS
226490OtherKSCOVENTRY INSURANCE
2122OtherKSPREFERRED PLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1508898883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 N A ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670052208",
            "telephone_number": "620-442-8900",
            "fax_number": "620-442-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N A ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670052208",
            "telephone_number": "620-442-8900",
            "fax_number": "620-442-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JEFFREY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DC FIACA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/ PTAN/ BCBS",
            "identifier": "660023",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA1482",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS  BCBS",
            "identifier": "060917",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY INSURANCE",
            "identifier": "226490",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED PLUS",
            "identifier": "2122",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.