Andra Cross Woodard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13244 Issued in TX

Practice address

3550 W Dallas St
Houston, TX 77019-1702

Phone

(713) 525-8846

Fax

(713) 525-8463

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Menelik Group, LLC

  • Clinical Social Worker
  • Houston, TX
  • NPI 1760427512
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1033209168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8747",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772498747",
            "telephone_number": "713-692-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 W DALLAS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770191702",
            "telephone_number": "713-525-8846",
            "fax_number": "713-525-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "ANDRA",
        "middle_name": "CROSS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1206948-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Wood
• Sylvester C Wood Jr., LCDC
• Ying Ying Peng Wood, M.D.
• Woodard Jr Trading LLC
• Alexis Woodard
• Angela Woodard, LCSW
• Greg D Woodard, D.C.
• Kristen L Woodard
• Le'Chauncy Woodard, MD
• Martin T. Woodard, ACSW, LCSW

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.