Individual provider Active NPI

Garrett Kirk Morgan Wood, DC

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1528674173
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01560 Issued in NV
Practice address
10909 S Eastern Ave
Henderson, NV 89052-5864
Phone
(702) 558-2151
Fax
(702) 579-9877
NPI assigned
Sep 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01560 NV Primary

Addresses

Primary practice location

10909 S Eastern Ave
Henderson, NV 89052-5864

Mailing address

10909 S Eastern Ave
Henderson, NV 89052-5864
Phone (702) 558-2151

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B01560NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Sports Performance and Rehab, LLC Chiropractor CurrentSince Jul 1, 2022 Accepting new patients

Locations

10909 S Eastern Ave
Henderson, NV 89052
Phone (702) 558-2151

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1528674173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 S EASTERN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525864",
            "telephone_number": "702-558-2151",
            "fax_number": "702-579-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 S EASTERN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525864",
            "telephone_number": "702-558-2151",
            "fax_number": "702-579-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "GARRETT",
        "middle_name": "KIRK MORGAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.