Active NPI
Daniel Keith Woodson, D.D.S.
- General Practice Dentistry
- Foresthill, CA
National Provider Identifier
1225046402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23417
- Practice address
- 24400 Main St
Foresthill, CA 95631 - Phone
- (530) 367-2250
- Fax
- (530) 367-4735
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23417 | CA | Primary |
Addresses
Primary practice location
24400 Main St
Foresthill, CA 95631
Mailing address
PO Box 1098
Foresthill, CA 95631-1098
Phone (530) 367-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B23417-01 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23417 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel K. Woodson, DDS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Foresthill, CA
- NPI 1558553990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225046402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1098",
"city": "FORESTHILL",
"state": "CA",
"postal_code": "956311098",
"telephone_number": "530-367-2250",
"fax_number": "530-367-4735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24400 MAIN ST",
"city": "FORESTHILL",
"state": "CA",
"postal_code": "95631",
"telephone_number": "530-367-2250",
"fax_number": "530-367-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODSON",
"first_name": "DANIEL",
"middle_name": "KEITH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "23417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B23417-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foresthill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.