Tim & Randy Woodruff DDS PTRS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TIM & RANDY WOODRUFF DDS PTRS

Practice address

2800 Enterprise CV
Jonesboro, AR 72401-9271

Phone

(870) 972-8190

NPI assigned

Oct 10, 2008

Last updated

Oct 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy C. Woodruff, D.D.S.NPI 1083787683

Title

Dr.

Phone

(870) 972-8190

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy C. Woodruff, DDS

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1083787683
  Authorized official Same address or phone

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1104077916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ENTERPRISE CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724019271",
            "telephone_number": "870-972-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ENTERPRISE CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724019271",
            "telephone_number": "870-972-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM & RANDY WOODRUFF DDS PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "870-972-8190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassondra Jade Tidwell-Basham, LMSW
• Kenneth Kelley Tidwell Jr., M.D.
• Stephanie Leigh Tidwell, LMSW
• Taylor Tidwell
• Carla Leann Tilghman, LPC
• Britany Timmons
• Dustin Wayne Timmons, APRN
• Marty W Timmons, LPN
• Joshua M Tinsley
• Sara Frances Tinsley, MSP, CCC SLP

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.