Alan Baylor Woodson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35359 Issued in CA

Practice address

304 N Mountain Ave
Upland, CA 91786-5115

Phone

(909) 931-1281

Fax

(909) 931-1284

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Alan B. Woodson, D.D.S.

  • General Practice Dentistry
  • Upland, CA
  • NPI 1881572832
  NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073648887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 ISLE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917391691",
            "telephone_number": "909-463-1552",
            "fax_number": "909-931-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N MOUNTAIN AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865115",
            "telephone_number": "909-931-1281",
            "fax_number": "909-931-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "ALAN",
        "middle_name": "BAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Phillip Wolff, CRNA
• Women'S View Medical Group Inc
• Ka Kay Bonnie Wong
• Yumiko Wong, PA
• Victoria Wood
• Stanley Woodson
• Kristy Marie Woodward
• Amanda Mae Woolery, CD(DONA)
• Kimberly Workman
• Cindy Lynne Worland, RADT1

• General Practice Dentistry in Upland, CA
• Providers in Upland, CA by specialty
• General Practice Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.