Woodrow Bolden Harris III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9952 Issued in TX

Practice address

4000 Sunrise Rd
BLDG. 1 Ste. 1200
Round Rock, TX 78665-1519

Phone

(512) 248-9355

Fax

(512) 233-1010

NPI assigned

Oct 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

May accept Medicare assignment

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.

• Teravista Family Wellness, PLLC

  dba Family Wellness at Teravista

  • Chiropractor
  • Round Rock, TX
  • NPI 1366858276
  Medicare reassignment NPD Authorized official
• RCX Holdings, LLC

  dba Family Wellness at White Rock

  • Chiropractor
  • Dallas, TX
  • NPI 1891345393
  NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1881782621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SUNRISE RD",
            "address_2": "BLDG. 1 STE. 1200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651519",
            "telephone_number": "512-248-9355",
            "fax_number": "512-233-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SUNRISE RD",
            "address_2": "BLDG. 1 STE. 1200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651519",
            "telephone_number": "512-248-9355",
            "fax_number": "512-233-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WOODROW",
        "middle_name": "BOLDEN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00318024",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dia Harris
• Ja'Kiya Harris, RBT
• Mary Katharine Harris, CRNA
• Nakisha Harris
• Suzanne E. Harris, PTA
• Karson Ashley Harrison
• Mary Elizabeth Harrison, MD
• Harry H Jung III MD PA
• Mikel F Harsch
• Kristin Leigh Hart, PAC

• Chiropractor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.