Individual provider Active NPI

Richard J Woolman, DC

  • Chiropractor
  • Lathrup Village, MI
National Provider Identifier
1952317992
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RW006163 Issued in MI
Practice address
26751 Southfield Rd
Lathrup Village, MI 48076-4532
Phone
(248) 552-0510
Fax
(248) 569-7741
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X RW006163 MI Primary

Addresses

Primary practice location

26751 Southfield Rd
Lathrup Village, MI 48076-4532

Mailing address

2560 W Bloomfield Oaks Dr
Orchard Lake, MI 48324-3085
Phone (248) 366-8998

Other identifiers 2

IdentifierTypeStateIssuer
4866695-14MedicaidMI
95-0-F3-25700OtherMIBCBS PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000101 MI Practitioner - Chiropractic 3072522176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RW006163MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovered Chiropractic CurrentSince Jun 1, 2021 Accepting new patients
Universal Health Group, Inc. Chiropractor Past Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Feb 3, 2006 Accepting new patients
Associated Medical Inc Chiropractor Past Accepting new patients
David E. Beneson D.P.M., P.C. Past Accepting new patients
Universal Health Group, Inc Chiropractor Past Accepting new patients
Richard J Woolman DC PC Chiropractor PastSince Apr 18, 2006 Accepting new patients
Quest Health Systems VII, PLLC Chiropractor PastSince Nov 1, 2008 Accepting new patients
Therapy Unlimited, LLC PastSince Jan 12, 2015 Accepting new patients
Associated Clinics PC Chiropractor Past Accepting new patients

Locations

5140 Highland Rd
Waterford, MI 48327
Phone (248) 618-3467

5601 Highland Rd
Waterford, MI 48327
Phone (248) 618-3467

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1952317992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 W BLOOMFIELD OAKS DR",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483243085",
            "telephone_number": "248-366-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26751 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764532",
            "telephone_number": "248-552-0510",
            "fax_number": "248-569-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLMAN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "RW006163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4866695-14",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "95-0-F3-25700",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.