Active NPI
Camille M Wood, DC
- Sports Physician Chiropractor
- Rapid City, SD
National Provider Identifier
1922172097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1090
- Practice address
- 1122 Jackson Blvd
Rapid City, SD 57702-4335 - Phone
- (605) 388-0406
- Fax
- (605) 718-1211
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1090 | SD | Primary |
Addresses
Primary practice location
1122 Jackson Blvd
Rapid City, SD 57702-4335
Mailing address
1122 Jackson Blvd
Rapid City, SD 57702-4335
Phone (605) 388-0406
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 |
|---|---|---|---|
| 1090 | SD | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922172097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 JACKSON BLVD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577024335",
"telephone_number": "605-388-0406",
"fax_number": "605-718-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 JACKSON BLVD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577024335",
"telephone_number": "605-388-0406",
"fax_number": "605-718-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CAMILLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "SD",
"license": "1090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
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.