Active NPI
Ronald Eugene Woodard, CHIROPRACTOR
- Chiropractor
- Grand Prairie, TX
National Provider Identifier
1730196544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8992
- Practice address
- 2133 S Great Southwest Pkwy
Suite 505
Grand Prairie, TX 75051-7417 - Phone
- (972) 647-2400
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | 8992 | TX | |
| Chiropractor | 111N00000X | 8992 | TX | Primary |
Addresses
Primary practice location
2133 S Great Southwest Pkwy
Suite 505
Grand Prairie, TX 75051-7417
Mailing address
2133 S Great Southwest Pkwy
Suite 505
Grand Prairie, TX 75051-7417
Phone (972) 647-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8992 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King Vision of Fort Worth LLC | Current | Accepting new patients | |
| Sanvan Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Dallas, TX
- NPI 1902423783
-
- Chiropractor
- Grand Prairie, TX
- NPI 1205007838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1730196544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 S GREAT SOUTHWEST PKWY",
"address_2": "SUITE 505",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750517417",
"telephone_number": "972-647-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 S GREAT SOUTHWEST PKWY",
"address_2": "SUITE 505",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750517417",
"telephone_number": "972-647-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "RONALD",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2081H0002X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": "TX",
"license": "8992",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.