Individual provider Active NPI

Christopher David Wood, DC

  • Chiropractor
  • La Crescent, MN
National Provider Identifier
1548277296
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4673 Issued in MN
Practice address
205 N Chestnut St
Suite 108
La Crescent, MN 55947
Phone
(507) 895-2225
Fax
(507) 895-7508
NPI assigned
Aug 2, 2006
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3775012 WI
Chiropractor 111N00000X 4673 MN Primary

Addresses

Primary practice location

205 N Chestnut St
Suite 108
La Crescent, MN 55947

Mailing address

205 N Chestnut St
Suite 108
La Crescent, MN 55947
Phone (507) 895-2225

Other identifiers 3

IdentifierTypeStateIssuer
38961500MedicaidWI
072408400OtherMNMN MED ASSISTANCE
487R1CHOtherMNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000753 MN Practitioner - Chiropractic 0244278224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Family Chiropractic PCGroup PAC ID 9537107511, 2 clinicians

Practice addresses (Care Compare)

120 Midnite St
La Crescent, MN 55947-1282
Phone (507) 895-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4673MNMDMarriage & Family Therapist
3775012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Family Chiropractic PC Chiropractor CurrentSince Nov 29, 2004 Accepting new patients
Wood Family Chiropractic Past Accepting new patients

Locations

120 Midnight St
La Crescent, MN 55947
Phone (507) 895-2225

205 N Chestnut St
Ste 108
La Crescent, MN 55947
Phone (507) 323-1200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1548277296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N CHESTNUT ST",
            "address_2": "SUITE 108",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "55947",
            "telephone_number": "507-895-2225",
            "fax_number": "507-895-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N CHESTNUT ST",
            "address_2": "SUITE 108",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "55947",
            "telephone_number": "507-895-2225",
            "fax_number": "507-895-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3775012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38961500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN MED ASSISTANCE",
            "identifier": "072408400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "487R1CH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescent, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.