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TIMOTHY ROBERT WOODEAN DC
NPI 1053140954
Chiropractor in Wilson, NY

Active since July 29, 2024
638 LAKE ST STE 3, WILSON, NY 14172(716) 751-2222 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Robert Woodean Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY ROBERT WOODEAN DC (NPI 1053140954) is an individual chiropractor in Wilson, New York, licensed in New York (13855) and active in the NPI registry since July 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1053140954
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTIMOTHY ROBERT WOODEANCredential: DC
Location Address638 LAKE ST STE 3Wilson, NY 14172-9600
Mailing Address4233 Cambria Wilson RdLockport, NY 14094-9797 · (716) 243-5136
Phone(716) 751-2222
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 29, 2024
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1053140954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 13855
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
638 LAKE ST STE 3, Wilson, NY 14172
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Robert Woodean Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284175902
PECOS Enrollment IDI20240923000510

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY R WOODEAN CHIROPRACTIC AND MASSAGE THERAPY PLLC
Chiropractor
638 LAKE ST STE 3
WILSON, NY 14172
Niagara County (716) 751-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Woodean's NPI number?

The NPI number for Timothy Woodean is 1053140954. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Timothy Woodean located?

Timothy Woodean practices at 638 Lake St Ste 3, Wilson, NY 14172. The listed phone number is (716) 751-2222.

What is Timothy Woodean's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Timothy Woodean enrolled in Medicare?

Yes. Timothy Woodean is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Woodean was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.