Individual provider Active NPI

Donald Ray Woodard, D.C.

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1912148768
Registry record updated Mar 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4043 Issued in TX
Practice address
1190 W Pioneer Pkwy
Arlington, TX 76013-6367
Phone
(817) 274-0351
Fax
(817) 274-3466
NPI assigned
Mar 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4043 TX Primary

Addresses

Primary practice location

1190 W Pioneer Pkwy
Arlington, TX 76013-6367

Mailing address

1865 Larkspur Dr
Arlington, TX 76013-3479
Phone (817) 274-0351

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

LicenseStateTypeSpecialty
4043TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1236384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236384000000",
    "number": "1912148768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 LARKSPUR DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133479",
            "telephone_number": "817-274-0351",
            "fax_number": "817-274-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136367",
            "telephone_number": "817-274-0351",
            "fax_number": "817-274-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-07",
        "last_updated": "2009-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.