Wesley Van Wooden, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3650251202 Issued in UT

Practice address

5974 Fashion Point Dr
Suite 110
South Ogden, UT 84403-4699

Phone

(801) 621-1667

Fax

(801) 475-6802

NPI assigned

Dec 22, 2005

Last updated

Mar 9, 2010By the provider in NPPES

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 UT

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Solutions Chiropractic LLCGroup PAC ID 9739185224, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Solutions Chiropractic LLC

  • Chiropractor
  • South Ogden, UT
  • NPI 1669415329
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1912984725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "address_2": "SUITE 110",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-621-1667",
            "fax_number": "801-475-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 FASHION POINT DR",
            "address_2": "SUITE 110",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-621-1667",
            "fax_number": "801-475-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODEN",
        "first_name": "WESLEY",
        "middle_name": "VAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3650251202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "204574521",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameran Rachelle Wilson, FNP-C
• Makenzie Baird Womack
• Matthew Wood
• Matthew Paul Wood, D.C.
• Braken Wooden, D.C.
• Dale A Woodfield, O.D.
• Korrie Woodruff, RBT
• Kaileen Woods, RBT
• Mark Edwin Woolley, DPM
• Paige Worthington, RBT

• Chiropractor in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Chiropractor in Utah

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

Verify at the official NPI Registry.