Active NPI
William Jay Woolman, CHIROPRACTOR
- Chiropractor
- Renton, WA
National Provider Identifier
1902001415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001773
- Practice address
- 17233 140TH Ave SE
Ste 100
Renton, WA 98058-7013 - Phone
- (425) 226-4823
- Fax
- (425) 271-6498
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- 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 | CH00001773 | WA | Primary |
Addresses
Primary practice location
17233 140TH Ave SE
Ste 100
Renton, WA 98058-7013
Mailing address
17233 140TH Ave SE
Ste 100
Renton, WA 98058-7013
Phone (425) 226-4823
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 |
|---|---|---|---|
| CH00001773 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902001415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17233 140TH AVE SE",
"address_2": "STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980587013",
"telephone_number": "425-226-4823",
"fax_number": "425-271-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17233 140TH AVE SE",
"address_2": "STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980587013",
"telephone_number": "425-226-4823",
"fax_number": "425-271-6498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLMAN",
"first_name": "WILLIAM",
"middle_name": "JAY",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- 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.