Woodward Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC17963 Issued in CA

Legal business name

WOODWARD CHIROPRACTIC INC.

Practice address

2175 Foothill Blvd
Ste a
La Verne, CA 91750-2958

Phone

(909) 593-2566

NPI assigned

Nov 30, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Woodward, D.C.NPI 1033214523

Title

President

Phone

(909) 593-2566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Woodward, D.C.

  • Chiropractor
  • La Verne, CA
  • NPI 1033214523
  Medicare reassignment NPD Authorized official
• John Joseph Cumiskey, D.C.

  • Chiropractor
  • La Verne, CA
  • NPI 1255362638
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1396927471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 FOOTHILL BLVD",
            "address_2": "STE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502958",
            "telephone_number": "909-593-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 FOOTHILL BLVD",
            "address_2": "STE A",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502958",
            "telephone_number": "909-593-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-593-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Deantte Williams, LPT
• Lilia Carreon Willis
• Donte Witherspoon
• Josephine Wong
• Tan Lin Wong, MD
• Gary Woodward, D.C.
• Cristal Workman
• Cristina Wucetich, MFTI
• Jason Yonemoto, MPT
• Moheb S Youssef, M D

• Chiropractor in La Verne, CA
• Providers in La Verne, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.