Active NPI
Jesse Wood, D.C,
- Chiropractor
- North Little Rock, AR
National Provider Identifier
1790034106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12128
- Practice address
- 7319 River Pointe Dr
North Little Rock, AR 72113-6951 - Phone
- (501) 753-5555
- Fax
- (501) 753-5563
- NPI assigned
- Aug 30, 2012
- Last updated
- Apr 21, 2016
- 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 | 12128 | TX | Primary |
Addresses
Primary practice location
7319 River Pointe Dr
North Little Rock, AR 72113-6951
Mailing address
7319 River Pointe Dr
North Little Rock, AR 72113-6951
Phone (501) 753-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7319 River Pointe Dr
North Little Rock, AR 72113-6951
Phone (501) 753-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12128 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
7319 River Pointe Dr
North Little Rock, AR 72113
Phone (501) 753-5555
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.
-
- Chiropractor
- North Little Rock, AR
- NPI 1477907848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1790034106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7319 RIVER POINTE DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721136951",
"telephone_number": "501-753-5555",
"fax_number": "501-753-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7319 RIVER POINTE DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721136951",
"telephone_number": "501-753-5555",
"fax_number": "501-753-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JESSE",
"name_prefix": "Dr.",
"credential": "D.C,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.