Jeffery Allen Wood Sr., D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

23408 Issued in CA

Practice address

4400 The Woods Dr
#1523
San Jose, CA 95136-3844

Phone

(661) 496-4334

Fax

(408) 937-6363

NPI assigned

Dec 1, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891863205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 THE WOODS DR",
            "address_2": "#1523",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951363844",
            "telephone_number": "661-496-4334",
            "fax_number": "408-937-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 THE WOODS DR",
            "address_2": "#1523",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951363844",
            "telephone_number": "661-496-4334",
            "fax_number": "408-937-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JEFFERY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "23408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Woo, LAC
• Michele Woo
• Tiffany Erin Woo
• Wonhee Woo
• Diane Elizabeth Wood, MFT
• Jill Dawnmarie Wood, BSW
• Julie Mary Wood, BA MHRS
• Kerrie Wood, LCSW100268
• Shelley Wood, RD
• Alexandra Lynne Woodcock, MD

• Sports Physician Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Sports Physician Chiropractor in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.