Active NPI
Phillip Dexter Woods, D.D.S., M.P.H
- Dentist
- Bethesda, MD
National Provider Identifier
1245609577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16041
- Practice address
- Walter Reed National Military Ctr
Building 2, Room 2661, 8960 Brown Drive
Bethesda, MD 20889-0001 - Phone
- (301) 295-4011
- NPI assigned
- Sep 16, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16041 | MA | Primary |
Addresses
Primary practice location
Walter Reed National Military Ctr
Building 2, Room 2661, 8960 Brown Drive
Bethesda, MD 20889-0001
Mailing address
1155 Ripley St
Apartment 2105
Silver Spring, MD 20910-7438
Phone (619) 204-4076
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16041 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1245609577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 RIPLEY ST",
"address_2": "APARTMENT 2105",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209107438",
"telephone_number": "619-204-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY CTR",
"address_2": "BUILDING 2, ROOM 2661, 8960 BROWN DRIVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "PHILLIP",
"middle_name": "DEXTER",
"credential": "D.D.S., M.P.H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "16041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.