Organization Active NPI

Woodward Chiropractic PLLC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1205239365
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3685 Issued in KY
Legal business name
WOODWARD CHIROPRACTIC PLLC
Practice address
4008 Preston Hwy
Louisville, KY 40213-1612
Phone
(502) 366-1413
Fax
(502) 366-1414
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Dr. Robert P Woodward, D.C.NPI 1265416762
Title
Managing Member
Phone
(502) 366-1413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3685 KY Primary

Addresses

Primary practice location

4008 Preston Hwy
Louisville, KY 40213-1612

Mailing address

4008 Preston Hwy
Louisville, KY 40213-1612
Phone (502) 366-1413

Other identifiers 1

IdentifierTypeStateIssuer
71000092310MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1205239365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131612",
            "telephone_number": "502-366-1413",
            "fax_number": "502-366-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131612",
            "telephone_number": "502-366-1413",
            "fax_number": "502-366-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "502-366-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71000092310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.