Kevin Mark Woog, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273161 Issued in OR

Practice address

1900 NE Division St
106
Bend, OR 97701-3525

Phone

(541) 312-5351

Fax

(541) 312-5352

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Wojciak Enterprises IncGroup PAC ID 2860594496, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wojciak Enterprises Inc

  • Nutrition Chiropractor
  • Prescott, AZ
  • NPI 1184765398
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821152703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61450 DUNCAN LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022133",
            "telephone_number": "541-617-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NE DIVISION ST",
            "address_2": "106",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013525",
            "telephone_number": "541-312-5351",
            "fax_number": "541-312-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOG",
        "first_name": "KEVIN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woods Orthodontics LLC
• Megan Woods, LMT
• Shannon Woods, DMD, MS
• Andrea Woodward
• Mary Joyce Campos Woody, AU.D.
• Penn Burrows Wooldridge, RN
• Cameron Woolsey, D.D.S, M.S.D.
• Stephanie Woolsey, DDS
• Work Capacities LLC
• Heather Briana Worley-Laughlin

• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• 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.