Michael Woodbeck, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

203932 Issued in CO

Practice address

5120 S Broadway Ste B
Englewood, CO 80113-9304

Phone

(720) 792-5095

NPI assigned

Jun 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1003220260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 S BROADWAY STE B",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801139304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 S BROADWAY STE B",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801139304",
            "telephone_number": "720-792-5095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281969",
            "country_code": "US",
            "telephone_number": "720-792-5095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODBECK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "203932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent Womeldorff, RN PSY.D.
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• Grace Wong
• Glenn Fredrick Woning II, MD, PHARM D
• Andrea Wood
• Alyn Q Woods, MD
• John S Woodward Jr., M.D.
• Cora Woogen, DPT
• Brianna Marie Worek
• Meredith Worm

• Oral and Maxillofacial Surgery (Dentist) in Englewood, CO
• Providers in Englewood, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.