Wootton Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2291 Issued in TN

Legal business name

WOOTTON FAMILY CHIROPRACTIC

Practice address

680 N Germantown Pkwy
Ste 44
Cordova, TN 38018-6282

Phone

(901) 207-3247

Fax

(901) 207-3253

NPI assigned

Dec 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jared Michael Wootton, D.C.NPI 1821254210

Title

Owner

Phone

(901) 207-3247

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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.

• Jared M Wootton, DC

  • Chiropractor
  • Cordova, TN
  • NPI 1821254210
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1720409345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N GERMANTOWN PKWY",
            "address_2": "STE 44",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186282",
            "telephone_number": "901-207-3247",
            "fax_number": "901-207-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N GERMANTOWN PKWY",
            "address_2": "STE 44",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186282",
            "telephone_number": "901-207-3247",
            "fax_number": "901-207-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOTTON FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "WOOTTON",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-207-3247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Woods
• Reanne Heniece Woods, BCBA
• Trinicia Woods
• Wanda M Woodward, PHD, LPC-MHSP
• Charmaine Wooten
• Jared M Wootton, DC
• Beverly Word, LPC-MHSP
• WR Community Services, LLC
• Porsha Wren
• David Bruce Wright, M.D.

• Chiropractor in Cordova, TN
• Providers in Cordova, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.