Wayside Exit, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8858 Issued in TX

Legal business name

WAYSIDE EXIT, INC.

Practice address

2321 50TH St
Suite a
Lubbock, TX 79412-2563

Phone

(806) 793-9005

Fax

(806) 791-2452

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Richard Roeder, D.C.

Title

Doctor of Chiropractic

Phone

(806) 793-9005

Specialties & licenses 1

Addresses

Other names 1

• The Chiropractic Care Center Doing business as

Locations

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1669642146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 50TH ST",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122563",
            "telephone_number": "806-793-9005",
            "fax_number": "806-791-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 50TH ST",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122563",
            "telephone_number": "806-793-9005",
            "fax_number": "806-791-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYSIDE EXIT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "806-793-9005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chiropractic Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Gail Watson, FNP-C
• Laura Watson, RBT
• Madison Watson, PTA
• Ian Cole Watts, LCSW
• Barbara Haight Way, M.D.
• Ryan Harrison Wealther, MD
• Zachary Ray Weatherford, M.D.
• Madison Weatherly
• Ashleigh Weaver
• Cori Weaver, MS, CCC-SLP

• Chiropractor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.