Active NPI
Jason Rodney Wolford, D.C.
- Chiropractor
- Mt Washington, KY
National Provider Identifier
1720244999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5164
- Practice address
- 138 Eastbrooke Court
Suite 130
Mt. Washington, KY 40047 - Phone
- (502) 538-0222
- Fax
- (502) 538-0282
- NPI assigned
- Aug 6, 2008
- Last updated
- Apr 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5164 | KY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
138 Eastbrooke Court
Suite 130
Mt. Washington, KY 40047
Mailing address
PO Box 1379
Mount Washington, KY 40047-1379
Phone (502) 594-2504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00911001 | Other | KY | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
138 Eastbrooke CT
Unit 130
Mt Washington, KY 40047-5568
Phone (502) 538-0222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Forever Young Chiropractic
- Chiropractor
- Mt Washington, KY
- NPI 1659519031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1720244999",
"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": "MT. WASHINGTON",
"state": "KY",
"postal_code": "40047",
"telephone_number": "502-538-0222",
"fax_number": "502-538-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFORD",
"first_name": "JASON",
"middle_name": "RODNEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5164",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "00911001",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Washington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.