Active NPI
Kevin J Wood, D.C., J.D.
- Chiropractor
- Palm Beach Gardens, FL
National Provider Identifier
1891795506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7752
- Practice address
- 3970 Rca Blvd
Suite 7004
Palm Beach Gardens, FL 33410-4253 - Phone
- (855) 853-6542
- Fax
- (561) 653-1979
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7752 | FL | Primary |
Addresses
Primary practice location
3970 Rca Blvd
Suite 7004
Palm Beach Gardens, FL 33410-4253
Mailing address
4040 Tree Tops Rd
Hollywood, FL 33026-1165
Phone (954) 809-4351
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53982 | Other | FL | BLUE CROSS BLUE SHIELD |
| 53982 | Other | FL | MEDICARE PART B |
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)
- Not enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH7752 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1891795506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 TREE TOPS RD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330261165",
"telephone_number": "954-809-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 RCA BLVD",
"address_2": "SUITE 7004",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104253",
"telephone_number": "855-853-6542",
"fax_number": "561-653-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "KEVIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C., J.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "53982",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "53982",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.