Provider Demographics
NPI:1366592255
Name:WOODS, CHAD D (DC)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:D
Last Name:WOODS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:229 W 39TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-5700
Mailing Address - Country:US
Mailing Address - Phone:605-331-2052
Mailing Address - Fax:605-274-2152
Practice Address - Street 1:229 W 39TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-5700
Practice Address - Country:US
Practice Address - Phone:605-331-2052
Practice Address - Fax:605-274-2152
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0004755OtherWELLMARK BCBS
SD7604133Medicaid
MN01B34TIOtherBCBS OF MINNESOTA
SD22525OtherSANFORD HEALTH PLAN
MN653878OtherACN NETWORK
SD350046211Medicare PIN
SDU68348Medicare UPIN
SD7604133Medicaid