Active NPI
Jeffrey E. Woosley, D.C.
- Chiropractor
- Texarkana, TX
National Provider Identifier
1902849896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TX1411
- Practice address
- 1018 Olive St
Texarkana, TX 75501-5208 - Phone
- (903) 793-3532
- Fax
- (903) 793-6098
- NPI assigned
- Jun 14, 2006
- 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 | TX1411 | TX | Primary |
Addresses
Primary practice location
1018 Olive St
Texarkana, TX 75501-5208
Mailing address
1018 Olive St
Texarkana, TX 75501-5208
Phone (903) 793-3532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120301000113 | TX | Practitioner - Chiropractic | 1759549215 | Practice locations: Texarkana, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1018 Olive St
Texarkana, TX 75501-5208
Phone (903) 793-3532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX1411 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1902849896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 OLIVE ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015208",
"telephone_number": "903-793-3532",
"fax_number": "903-793-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 OLIVE ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015208",
"telephone_number": "903-793-3532",
"fax_number": "903-793-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOSLEY",
"first_name": "JEFFREY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "TX1411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.