Christine a Woodward, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHRISTINE A WOODWARD, DDS, PLLC

Doing business as

Two Rivers Dental

Practice address

45860 Main St
Concrete, WA 98237

Phone

(360) 399-1250

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine A Woodward, DDSNPI 1205090024

Title

Member

Phone

(715) 379-1973

Specialties & licenses 1

Addresses

Other names 1

• Two Rivers Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine A Woodward, D.D.S.

  • General Practice Dentistry
  • Concrete, WA
  • NPI 1205090024
  NPD Authorized official

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1306446240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982370570",
            "telephone_number": "360-399-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45860 MAIN ST",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "98237",
            "telephone_number": "360-399-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE A WOODWARD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-379-1973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two Rivers Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aero Skagit Emergency Service, Inc
• Gavina Bah
• Bellflower Staff Agency (Bellflower Staffing Agency)
• Avery Elle Borgford
• Concrete School District
• Suzanne Marie Cornell, LMP
• Daniel H & Emily B Garcia (East Valley Medical Diagnostic Center)
• Haili Dewitt
• Jennifer Ann Frazier, ARNP

• Dental Clinic/Center in Concrete, WA
• Providers in Concrete, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.