Individual provider Active NPI

Jesse Wood, D.C,

  • Chiropractor
  • North Little Rock, AR
National Provider Identifier
1790034106
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12128 Issued in TX
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20140529000723 AR Practitioner - Chiropractic 1557584125 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
12128TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Chiropractic LLC Chiropractor CurrentSince May 1, 2016 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.

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.

Verify at the official NPI Registry.