Wolford Chiropractic & Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5164 Issued in KY

Legal business name

WOLFORD CHIROPRACTIC & WELLNESS CENTER

Doing business as

Forever Young Chiropractic

Practice address

138 Eastbrooke Court
Suite 130
Mount Washington, KY 40047

Phone

(502) 538-0222

Fax

(502) 538-0282

NPI assigned

Jan 23, 2009

Last updated

Jun 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Rodney Wolford, D.C.NPI 1720244999

Title

Member

Phone

(502) 594-2504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Forever Young Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Rodney Wolford, D.C.

  • Chiropractor
  • Mt Washington, KY
  • NPI 1720244999
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1659519031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1379",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400471379",
            "telephone_number": "502-594-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 EASTBROOKE COURT",
            "address_2": "SUITE 130",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "40047",
            "telephone_number": "502-538-0222",
            "fax_number": "502-538-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFORD CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "WOLFORD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-594-2504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00911",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Young Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan David Whitmore, M.D.
• Lisa Ann Williamson, RPH
• Erin Willinger
• David Leroy Wilson, LMFT, M.DIV.
• Jennifer Marie Wilson, LMFT
• Jason Rodney Wolford, D.C.
• Amber Jainia Wood, APRN
• Laura Beth Woodring, M.S. CCC-SLP

• Chiropractor in Mt Washington, KY
• Providers in Mt Washington, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.