Active NPI
Matthew Dale Woods, DDS
- Dentist
- Nevada City, CA
National Provider Identifier
1295933513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55093
- Practice address
- 105 Providence Mine Rd
Suite 103
Nevada City, CA 95959-2950 - Phone
- (530) 265-3740
- NPI assigned
- Jul 8, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 55093 | CA | Primary |
Addresses
Primary practice location
105 Providence Mine Rd
Suite 103
Nevada City, CA 95959-2950
Mailing address
170 Horizon Circle
Grass Valley, CA 95945
Phone (530) 272-5918
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1295933513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 HORIZON CIRCLE",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-272-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PROVIDENCE MINE RD",
"address_2": "SUITE 103",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592950",
"telephone_number": "530-265-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "MATTHEW",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-08",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.