Active NPI
Lance Edward Woodard, D.D.S.
- Dentist
- Burleson, TX
National Provider Identifier
1306127147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17833
- Practice address
- 225 S E John Jones Drive
Suite 103
Burleson, TX 76028 - Phone
- (817) 447-3535
- NPI assigned
- Sep 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 17833 | TX | Primary |
Addresses
Primary practice location
225 S E John Jones Drive
Suite 103
Burleson, TX 76028
Mailing address
225 S E John Jones Drive
Suite 103
Burleson, TX 76028
Phone (817) 447-3535
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 |
|---|---|---|---|
| 17833 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilshire Family Dental and Orthodontics PLLC | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Justin, TX
- NPI 1932420221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1306127147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S E JOHN JONES DRIVE",
"address_2": "SUITE 103",
"city": "BURLESON",
"state": "TX",
"postal_code": "76028",
"telephone_number": "817-447-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S E JOHN JONES DRIVE",
"address_2": "SUITE 103",
"city": "BURLESON",
"state": "TX",
"postal_code": "76028",
"telephone_number": "817-447-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "LANCE",
"middle_name": "EDWARD",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "17833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.