Active NPI
Dr John a Wood DC PS
- Clinic/Center
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 2460
- Legal business name
- DR JOHN A WOOD DC PS
- Practice address
- 11027 SE Kent Kangley Rd
Kent, WA 98030-7205 - Phone
- (253) 630-9395
- Fax
- (253) 639-2219
- NPI assigned
- Dec 5, 2007
- Last updated
- Dec 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John A Wood, D.C.
- Title
- Doctor/Chiropractor
- Phone
- (253) 630-9395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 2460 | WA | Primary |
Addresses
Primary practice location
11027 SE Kent Kangley Rd
Kent, WA 98030-7205
Mailing address
11027 SE Kent Kangley Rd
Kent, WA 98030-7205
Phone (253) 630-9395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012235 | Medicaid | WA | |
| 8405029 | Medicaid | WA |
Other names 1
- Family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11204 SE 256th St
Kent, WA 98030
Phone (253) 630-9395
12950 SE Kent Kangley Rd
Kent, WA 98030
Phone (206) 630-9395
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Kent, WA
- NPI 1720113970
-
- Chiropractor
- Auburn, WA
- NPI 1619041639
-
- Massage Therapist
- Kent, WA
- NPI 1538710751
-
- Massage Therapist
- Kent, WA
- NPI 1205132313
-
- Specialist
- Kent, WA
- NPI 1356589865
-
- Chiropractor
- Enumclaw, WA
- NPI 1710034012
-
- Clinical Social Worker
- Puyallup, WA
- NPI 1396080735
-
- Chiropractor
- Bellevue, WA
- NPI 1467531905
-
- Massage Therapist
- Eugene, OR
- NPI 1124413570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1811170442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11027 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307205",
"telephone_number": "253-630-9395",
"fax_number": "253-639-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11027 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307205",
"telephone_number": "253-630-9395",
"fax_number": "253-639-2219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JOHN A WOOD DC PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DOCTOR/CHIROPRACTOR",
"authorized_official_telephone_number": "253-630-9395",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "WA",
"license": "2460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2012235",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8405029",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Chiropractic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.