DR. JEREL KENNETH WOTTRICH SR. (NPI# 1679667349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679667349 |
| Entity Type | Individual |
| Full Name | DR. JEREL KENNETH WOTTRICH SR. |
| Credential | D.C. |
| Practice Address |
2121 E Oltorf Suite 2 Austin TX 78741 |
| Practice Telephone | 5124481012 |
| Practice Fax Number | 5124482706 |
| Mailing Telephone | 5124481012 |
| Mailing Fax Number | 5124482706 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC2911 | TX | Chiropractic Providers |
| Street Address |
2121 E OLTORF SUITE 2 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1942702402 | Lani Kay Hartnett | Social Worker | 2410 E. Riverside Dr. Ste. G3, Austin, TX 78741 | 2018-03-01 |
| 1164946000 | Afiya Tamkeen | Dentist | 4410 East Riverside Dr., Austin, TX 78741 | 2017-08-02 |
| 1487174603 | Keila Luna | Speech-Language Pathologist | 2410 East Riverside Dr, Suite B-1, Austin, TX 78741 | 2017-06-20 |
| 1033640859 | Anastacia Erebia | Licensed Vocational Nurse | 6600 E. Ben White Blvd, Austin, TX 78741 | 2017-03-23 |
| 1376084756 | Stephanie Marie Haywood | Social Worker | 6600 E Ben White Herman Center, Austin, TX 78741 | 2017-03-17 |
| 1811437700 | Happiness Onyinyechi Nwadike | Registered Nurse | 6600 E. Ben White Herman Center, Austin, TX 78741 | 2017-02-27 |
| 1811436975 | Jennifer Salas | Licensed Practical Nurse | 6600 E. Ben White, Austin, TX 78741 | 2017-02-21 |
| 1235681008 | Amber Taylor | Occupational Therapy Assistant | 2410 E. Riverside, Suite B-1, Austin, TX 78741 | 2016-10-27 |
| Find all providers in zip 78741 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1497371827 | Abbie Lynn Hunt | Chiropractor | 820 Camino Vaquero Pkwy Apt 10106, Austin, TX 78748-3320 | 2020-06-22 |
| 1982237814 | Jared Covarrubias | Chiropractor | 4500 Steiner Ranch Blvd Apt 910, Austin, TX 78732-2313 | 2020-02-19 |
| 1396375606 | Brandon Ramakko | Chiropractor | 827 W 12th St Ste 2, Austin, TX 78701-1701 | 2020-01-26 |
| 1356980296 | Kristin Nicole Paouncic | Chiropractor | 1300 E Riverside Dr Apt D612, Austin, TX 78741-1215 | 2019-12-23 |
| 1962059576 | Gray Ellison Humphries | Chiropractor | 11800 N Interstate 35, Austin, TX 78753-2211 | 2019-08-20 |
| 1659937340 | Vinh Doan | Chiropractor | 12343 Hymeadow Dr Ste 2j, Austin, TX 78750-1830 | 2019-05-17 |
| 1689239212 | Shawn K Small | Chiropractor | 500 N Capital of Texas Hwy Bldg 125, Austin, TX 78746-3359 | 2019-05-09 |
| 1912464082 | Alexis Maire Dobson | Chiropractor | 4419 Frontier Trl Ste 106, Austin, TX 78745-1567 | 2019-02-25 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.