Cory Gene Wooff, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8228 Issued in AZ

Practice address

781 S Cotton LN
Suite 100
Goodyear, AZ 85338-4643

Phone

(623) 882-3636

Fax

(623) 932-9041

NPI assigned

Sep 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Goodyear Smiles, LLP

  dba Goodyear Smiles

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1629220579
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326499200000",
    "number": "1316256902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 W MENADOTA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087415",
            "telephone_number": "979-571-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 S COTTON LN",
            "address_2": "SUITE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384643",
            "telephone_number": "623-882-3636",
            "fax_number": "623-932-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOFF",
        "first_name": "CORY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2012-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith D Winters, PA-C
• Daniel Wolter, DMD, MS
• Erika Lynn Womack, PHARMD
• Benjamin Kevin Woodruff, PHARM D
• Keith Dell Woodside
• McKenzie Jean Woolstenhulme, PA
• Tishuna Words, PMHNP
• Kenneth E Worthy II
• Wound Solutions LLC
• Courtney Dawn Wright, OTR/L

• General Practice Dentistry in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.