Individual provider Active NPI

Rick L. Wooten, D.C.

  • Chiropractor
  • Russellville, AL
National Provider Identifier
1942397443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1826 Issued in AL
Practice address
301 Jackson Ave S
Russellville, AL 35653-2206
Phone
(256) 331-0208
Fax
(256) 331-0308
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1826 AL Primary

Addresses

Primary practice location

301 Jackson Ave S
Russellville, AL 35653-2206

Mailing address

301 Jackson Ave S
Russellville, AL 35653-2206
Phone (256) 331-0208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000735 AL Practitioner - Chiropractic 5698861391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Jackson Ave S
Russellville, AL 35653-2206

301 Jackson S Ave
Russellville, AL 35653-2206
Phone (256) 331-0208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1826ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wootenchiropractic and Preemployment Services Chiropractor CurrentSince Jun 1, 2007 Accepting new patients

Locations

301 Jackson Ave S
Russellville, AL 35653
Phone (256) 331-0208

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942397443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JACKSON AVE S",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532206",
            "telephone_number": "256-331-0208",
            "fax_number": "256-331-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JACKSON AVE S",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532206",
            "telephone_number": "256-331-0208",
            "fax_number": "256-331-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "RICK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

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.
  • 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.