Individual provider Active NPI

Karl F Woodmansey, DDS

  • Endodontics
  • Dallas, TX
National Provider Identifier
1326291295
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
1821 Issued in MT
Practice address
1215 Waterside Cir
Dallas, TX 75218
Phone
(469) 271-9722
NPI assigned
Oct 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 22554 TX
Endodontics 1223E0200X 1821 MT Primary

Addresses

Primary practice location

1215 Waterside Cir
Dallas, TX 75218

Mailing address

1215 Waterside Cir
Dallas, TX 75218
Phone (469) 271-9722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20231213000562 TX Order and Referring Only - DentistPractitioner - Dentist 3274858576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22554TXMDEndodontist
1821MTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1326291295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 WATERSIDE CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "469-271-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WATERSIDE CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75218",
            "telephone_number": "469-271-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODMANSEY",
        "first_name": "KARL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "22554",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MT",
            "license": "1821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.