Active NPI
Braden Woodward, DDS
- Pediatric Dentistry
- Downingtown, PA
National Provider Identifier
1104502699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS014475
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230715000032 | PA | Order and Referring Only - Dentist | 9335509827 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS014475 | PA | MD | Pediatric 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.