Jared M Wootton, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2291 Issued in TN

Practice address

680 N Germantown Pkwy
Suite 44
Cordova, TN 38018-6282

Phone

(901) 207-3247

Fax

(901) 207-3253

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

No

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 TN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wootton Family Chiropractic

  • Chiropractor
  • Cordova, TN
  • NPI 1720409345
  Medicare reassignment Authorized official
• The Wootton Clinic and Medical Center, P.C.

  • Chiropractor
  • Germantown, TN
  • NPI 1184812117
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1821254210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N GERMANTOWN PKWY",
            "address_2": "SUITE 44",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186282",
            "telephone_number": "901-207-3247",
            "fax_number": "901-207-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N GERMANTOWN PKWY",
            "address_2": "SUITE 44",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186282",
            "telephone_number": "901-207-3247",
            "fax_number": "901-207-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTTON",
        "first_name": "JARED",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reanne Heniece Woods, BCBA
• Trinicia Woods
• Wanda M Woodward, PHD, LPC-MHSP
• Charmaine Wooten
• Wootton Family Chiropractic
• Beverly Word, LPC-MHSP
• WR Community Services, LLC
• Porsha Wren
• David Bruce Wright, M.D.
• Hannah Wright, PHARMD

• Chiropractor in Cordova, TN
• Providers in Cordova, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.