Active NPI
John Clark Wood, DC
- Chiropractor
- Salisbury, MD
National Provider Identifier
1669535910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1849PT
- Practice address
- 310 Civic Ave
Salisbury, MD 21804 - Phone
- (410) 742-2229
- Fax
- (410) 742-2235
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1849PT | MD | Primary |
Addresses
Primary practice location
310 Civic Ave
Salisbury, MD 21804
Mailing address
310 Civic Ave
Salisbury, MD 21804
Phone (410) 742-2229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255825 | Other | MD | MAMSI HEALTH PLANS |
| LU480E | Other | MD | BCBS |
| 60871901 | Other | MD | BCBS INDIVIDUAL |
| E6660002 | Other | MD | FEDACARE BCBS BLUE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 Civic Ave
Salisbury, MD 21804-5230
Phone (410) 742-2229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5623 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oechsli Chiropractic PA | Chiropractor | Current | Accepting new patients |
| Whitehall Wellness Center | Chiropractor | Past | Accepting new patients |
Locations
310 Civic Ave
Salisbury, MD 21804
Phone (410) 742-2229
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": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1669535910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CIVIC AVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-742-2229",
"fax_number": "410-742-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CIVIC AVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-742-2229",
"fax_number": "410-742-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JOHN",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "1849PT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI HEALTH PLANS",
"identifier": "255825",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "LU480E",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "60871901",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDACARE BCBS BLUE CHOICE",
"identifier": "E6660002",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.