Organization Active NPI

Wolff Chiropractic Wellness Center P.a.

  • Chiropractor
  • Vernon, TX
National Provider Identifier
1902926280
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WOLFF CHIROPRACTIC WELLNESS CENTER P.A.
Practice address
3720 Wilbarger St
Vernon, TX 76384-3259
Phone
(940) 552-9951
Fax
(940) 552-2382
NPI assigned
Mar 30, 2007
Last updated
May 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert John Wolff, D.C.NPI 1427046747
Title
President
Phone
(940) 552-9951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3720 Wilbarger St
Vernon, TX 76384-3259

Mailing address

3720 Wilbarger St
Vernon, TX 76384-3259
Phone (940) 552-9951

Other identifiers 3

IdentifierTypeStateIssuer
0013096-01MedicaidTX
40LHOtherTXBLUE CROSS BLUE SHIELD
0A3551OtherTXMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090403000237 TX Part B Supplier - Clinic/Group Practice 9931256112 Receives reassigned benefits from 1 practitioner
Practice locations: Vernon, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1902926280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 WILBARGER ST",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843259",
            "telephone_number": "940-552-9951",
            "fax_number": "940-552-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 WILBARGER ST",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843259",
            "telephone_number": "940-552-9951",
            "fax_number": "940-552-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFF CHIROPRACTIC WELLNESS CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-552-9951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013096-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40LH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "0A3551",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.