Granite Falls Community Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GRANITE FALLS COMMUNITY CHIROPRACTIC PLLC

Practice address

106 Cascade Ave Unit 103
Granite Falls, WA 98252-8818

Phone

(360) 386-8572

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Marcus William Woodall, D.C.NPI 1053361774

Title

Chiropractor

Phone

(360) 386-8572

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus William Woodall, DC

  • Chiropractor
  • Granite Falls, WA
  • NPI 1053361774
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1992453856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CASCADE AVE UNIT 103",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528818",
            "telephone_number": "360-386-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CASCADE AVE UNIT 103",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528818",
            "telephone_number": "360-386-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE FALLS COMMUNITY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-386-8572",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecka Goranson
• John G Gordon, RPH
• David Gore, DDS
• Holly L Gramse, PT
• Granite Drugs, LLC
• Granite Falls School District
• Sadie Mae Hollingsworth
• Barbara Ann Houser, L.M.P.
• Julie L Husby, RPH
• Robin A Ingraham, PT

• Chiropractor in Granite Falls, WA
• Providers in Granite Falls, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.