Active NPI
Robert Daniel Woodward Jr., D.D.S.
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1043233489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11550
- Practice address
- 8355 Walnut Hill LN
Suite 130
Dallas, TX 75231-4219 - Phone
- (214) 361-2208
- Fax
- (214) 739-6373
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11550 | TX | Primary |
Addresses
Primary practice location
8355 Walnut Hill LN
Suite 130
Dallas, TX 75231-4219
Mailing address
8355 Walnut Hill LN
Suite 130
Dallas, TX 75231-4219
Phone (214) 361-2208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151117001781 | TX | Order and Referring Only - Oral Surgery | 0244540508 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11550 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MFB Dental PLLC | Past | Accepting new patients | |
| Teap PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043233489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8355 WALNUT HILL LN",
"address_2": "SUITE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314219",
"telephone_number": "214-361-2208",
"fax_number": "214-739-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8355 WALNUT HILL LN",
"address_2": "SUITE 130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314219",
"telephone_number": "214-361-2208",
"fax_number": "214-739-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "ROBERT",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.