Individual provider Active NPI

Braden Woodward, DDS

  • Pediatric Dentistry
  • Downingtown, PA
National Provider Identifier
1104502699
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS014475 Issued in PA
Practice address
3915 E Lincoln Hwy
Downingtown, PA 19335
Phone
(610) 269-1900
NPI assigned
Jun 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS014475 PA Primary
Dentist 122300000X DS044175 PA

Addresses

Primary practice location

3915 E Lincoln Hwy
Downingtown, PA 19335

Mailing address

1540 Arline Ave
Abington, PA 19001-1502
Phone (585) 953-6056

Other practice location 1

2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Phone (215) 282-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL securerecords.sanford.html Pediatric Dental Associates

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230715000032 PA Order and Referring Only - DentistPractitioner - Dentist 9335509827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS014475PAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1104502699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ARLINE AVE",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011502",
            "telephone_number": "585-953-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 E LINCOLN HWY",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "19335",
            "telephone_number": "610-269-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191344427",
            "country_code": "US",
            "telephone_number": "215-282-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "BRADEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS014475",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Pediatric Dental Associates",
            "address_1": "2301 E Allegheny Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191344427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

Verify at the official NPI Registry.