Individual provider Active NPI

Daniel Alan Woodward, D.C.

  • Chiropractor
  • Rockwall, TX
National Provider Identifier
1477959591
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13146 Issued in TX
Practice address
3084 N Goliad St Ste 114
Rockwall, TX 75087-7164
Phone
(972) 722-2500
NPI assigned
Nov 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13146 TX Primary

Addresses

Primary practice location

3084 N Goliad St Ste 114
Rockwall, TX 75087-7164

Mailing address

3084 N Goliad St
Ste 114
Rockwall, TX 75087-7164
Phone (972) 722-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723001776 TX Practitioner - Chiropractic 4981951985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3084 N Goliad St
Suite 114
Rockwall, TX 75087-7164
Phone (972) 722-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13146TXMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Woodward DC PLLC Chiropractor CurrentSince May 11, 2018 Accepting new patients

Locations

3084 N Goliad St
Ste 114
Rockwall, TX 75087
Phone (972) 722-2500

3084 N Goliad St
Rockwall, TX 75087
Phone (972) 722-2500

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": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1477959591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 N GOLIAD ST",
            "address_2": "STE 114",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877164",
            "telephone_number": "972-722-2500",
            "fax_number": "972-722-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 N GOLIAD ST STE 114",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877164",
            "telephone_number": "972-722-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "DANIEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.