Individual provider Active NPI

John Douglas Wooddell, D.D.S.

  • General Practice Dentistry
  • Annandale, VA
National Provider Identifier
1073519146
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6607 Issued in VA
Practice address
3299 Woodburn Rd
Ste 440
Annandale, VA 22003-7329
Phone
(703) 698-9698
Fax
(703) 849-0935
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6607 VA Primary

Addresses

Primary practice location

3299 Woodburn Rd
Ste 440
Annandale, VA 22003-7329

Mailing address

3299 Woodburn Rd
Ste 440
Annandale, VA 22003-7329
Phone (703) 698-9698

Other identifiers 2

IdentifierTypeStateIssuer
502107OtherVAUNITED CONCORDIA
078334OtherVABLUE CROSS/TRIGON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6607VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smilescrafters of Annadale PastSince Mar 30, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073519146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD",
            "address_2": "STE 440",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037329",
            "telephone_number": "703-698-9698",
            "fax_number": "703-849-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD",
            "address_2": "STE 440",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037329",
            "telephone_number": "703-698-9698",
            "fax_number": "703-849-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODDELL",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "6607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "502107",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/TRIGON",
            "identifier": "078334",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.