Individual provider Active NPI

Carl William Woerner, DC

  • Chiropractor
  • Glendale, AZ
National Provider Identifier
1730199373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04227 Issued in AZ
Practice address
23425 N 39TH Drive
Suite 103
Glendale, AZ 85310
Phone
(623) 580-0266
Fax
(623) 580-8879
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04227 AZ Primary

Addresses

Primary practice location

23425 N 39TH Drive
Suite 103
Glendale, AZ 85310

Mailing address

23425 N 39TH Drive
Suite 103
Glendale, AZ 85310
Phone (623) 580-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000117 AZ Practitioner - ChiropracticPractitioner - Oral Surgery 4385705417 Reassigns benefits to 1 organization
Practice locations: Glendale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23425 N 39TH Dr
Glendale, AZ 85310-4197
Phone (623) 580-0266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04227AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kearny Chiropractic, LTD. Chiropractor CurrentSince Jan 1, 2007 Accepting new patients
Bailey Chiropractic Chiropractor Past Accepting new patients

Locations

16846 W Bell Rd
Ste 112
Surprise, AZ 85374
Phone (623) 556-2335

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730199373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23425 N 39TH DRIVE",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85310",
            "telephone_number": "623-580-0266",
            "fax_number": "623-580-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23425 N 39TH DRIVE",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85310",
            "telephone_number": "623-580-0266",
            "fax_number": "623-580-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOERNER",
        "first_name": "CARL",
        "middle_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "04227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.