Active NPI
Kelly L Wood, DC
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1821245747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4260
- Practice address
- 518 W Platte Ave
Colorado Springs, CO 80905-1334 - Phone
- (719) 648-5920
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 4260 | CO | Primary |
Addresses
Primary practice location
518 W Platte Ave
Colorado Springs, CO 80905-1334
Mailing address
4540 Gunbarrel Dr
Colorado Springs, CO 80925-1036
Phone (719) 648-5920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4260 | CO | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1821245747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 GUNBARREL DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809251036",
"telephone_number": "719-648-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 W PLATTE AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051334",
"telephone_number": "719-648-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "KELLY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.