Organization Active NPI

Woody Dental PLLC

  • Dentist
  • Denver, CO
National Provider Identifier
1053876748
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WOODY DENTAL PLLC
Practice address
5989 E Colfax Avenue
Denver, CO 80220
Phone
(714) 488-3399
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Dr. Ryan Christopher Woody, DDS
Title
Dentist/Owner
Phone
(714) 488-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5989 E Colfax Avenue
Denver, CO 80220

Mailing address

1950 N Logan St Apt 411
Denver, CO 80203-1175
Phone (714) 488-3399

National Provider Directory

National Provider Directory

Locations

5989 E Colfax Ave
Denver, CO 80220
Phone (714) 488-3399

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1053876748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 N LOGAN ST APT 411",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031175",
            "telephone_number": "714-488-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5989 E COLFAX AVENUE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80220",
            "telephone_number": "714-488-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-488-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.