Organization Active NPI

Associated Chiropractic Professionals, P.a.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1265442156
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ASSOCIATED CHIROPRACTIC PROFESSIONALS, P.A.
Practice address
6310 Lyndon B Johnson Fwy Ste 115
Dallas, TX 75240-6424
Phone
(972) 490-9888
Fax
(972) 490-9830
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Dr. Jonathan E Woodward, D.C.
Title
President
Phone
(972) 490-9888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

6310 Lyndon B Johnson Fwy Ste 115
Dallas, TX 75240-6424

Mailing address

6310 Lyndon B Johnson Fwy Ste 115
Dallas, TX 75240-6424
Phone (972) 490-8888

Other identifiers 3

IdentifierTypeStateIssuer
246409OtherPHCS
0014HSOtherBCBS GROUP ID
173959101MedicaidTX

Other names 2

  • Woodward Chiropractic Doing business as
  • Woodward Chiropractic & Massage Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101012000183 TX Part B Supplier - Clinic/Group Practice 2567654395 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5353 Alpha Rd
Ste 110A
Dallas, TX 75240
Phone (972) 490-9888

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1265442156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 LYNDON B JOHNSON FWY STE 115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406424",
            "telephone_number": "972-490-8888",
            "fax_number": "972-490-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 LYNDON B JOHNSON FWY STE 115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406424",
            "telephone_number": "972-490-9888",
            "fax_number": "972-490-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CHIROPRACTIC PROFESSIONALS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-490-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "246409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0014HS",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173959101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodward Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodward Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodward Chiropractic & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.