Individual provider Active NPI

Sean M Woodward, DC

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1023052552
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9224 Issued in FL
Practice address
10033 Dr Martin Luther King Jr St N
Suite 300
St Petersburg, FL 33716-3830
Phone
(727) 498-8898
Fax
(727) 800-6959
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9224 FL Primary
Acupuncturist 171100000X CH9224 FL

Addresses

Primary practice location

10033 Dr Martin Luther King Jr St N
Suite 300
St Petersburg, FL 33716-3830

Mailing address

301 W Platt St
Suite 24
Tampa, FL 33606-2292
Phone (727) 498-8898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000317 FL Practitioner - Chiropractic 0042313603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9224FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Outside the Box Acupuncturist Past Accepting new patients
Millennium Medical Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1023052552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PLATT ST",
            "address_2": "SUITE 24",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062292",
            "telephone_number": "727-498-8898",
            "fax_number": "727-800-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10033 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163830",
            "telephone_number": "727-498-8898",
            "fax_number": "727-800-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "SEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9224",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "CH9224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.