Individual provider Active NPI

Nicholas Woodward, DC

  • Chiropractor
  • Plano, TX
National Provider Identifier
1073465480
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16818 Issued in TX
Practice address
4140 Legacy Dr Ste 324
Plano, TX 75024-3494
Phone
(469) 241-9665
NPI assigned
Feb 10, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16818 TX Primary

Addresses

Primary practice location

4140 Legacy Dr Ste 324
Plano, TX 75024-3494

Mailing address

4140 Legacy Dr Ste 324
Plano, TX 75024-3494
Phone (469) 241-9665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225000023 TX Practitioner - Chiropractic 5092296343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifestyle Wellness Center PCGroup PAC ID 6002979010, 3 clinicians

Practice addresses (Care Compare)

4140 Legacy Dr
Suite 324
Plano, TX 75024-3494
Phone (469) 241-9665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16818TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Wellness Center PC Chiropractor CurrentSince Feb 16, 2026 Accepting new patients

Locations

4140 Legacy Dr
Ste 324
Plano, TX 75024
Phone (469) 241-9665

Organizations & group practices 1

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": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1073465480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 LEGACY DR STE 324",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243494",
            "telephone_number": "469-241-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 LEGACY DR STE 324",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243494",
            "telephone_number": "469-241-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.