Woodmoor Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOODMOOR DENTAL

Practice address

1777 Lake Woodmoor Dr
Monument, CO 80132-9074

Phone

(719) 488-3014

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Valerie Hall

Title

Business Manager

Phone

(623) 910-5569

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1194299941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 LAKE WOODMOOR DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329074",
            "telephone_number": "719-488-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 LAKE WOODMOOR DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329074",
            "telephone_number": "719-488-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMOOR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "623-910-5569"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Williams
• Kathryn M Williams, CCC-SLP
• Deborah L Williamson, LCSW
• Jeffrey Witt
• Michael Woodley, R.PH.
• Woodmoor Family Dentistry
• Lauren T Woolf
• Kelly Wormald, DPT
• Shannon Wright, PMHNP-BC, FNP-C
• Yasmine Wright, ATC

• Dental Clinic/Center in Monument, CO
• Providers in Monument, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.