Active NPI
Sean M Woodward, DC
- Chiropractor
- St Petersburg, FL
National Provider Identifier
1023052552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9224
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070320000317 | FL | Practitioner - Chiropractic | 0042313603 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9224 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New 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.