NPIMap

Organization Active NPI

Woodrow W. Gwinn Jr.

  • Chiropractor
  • Maryville, TN
National Provider Identifier
1508901471
Registry record updated Apr 22, 2008
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.
Practice address
1812 E Lamar Alexander Pkwy
Maryville, TN 37804-5283
Phone
(865) 977-0916
Fax
(865) 984-3519
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0000000336 TN Primary

Addresses

Primary practice location

1812 E Lamar Alexander Pkwy
Maryville, TN 37804-5283

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3723208MedicaidTN

Other names 1

  • Maryville 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1508901471",
    "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": "1812 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045283",
            "telephone_number": "865-977-0916",
            "fax_number": "865-984-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODROW W. GWINN JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-04-22",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723208",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryville Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.