Sarita L Woodson DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023319 Issued in IL

Legal business name

SARITA L WOODSON DDS

Practice address

715 Lake St
Ste 240
Oak Park, IL 60301-1411

Phone

(708) 660-9113

Fax

(708) 660-2207

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sarita L Woodson, DDSNPI 1255595666

Title

Dentist

Phone

(708) 660-9113

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarita L Woodson, DDS

  • General Practice Dentistry
  • Oak Park, IL
  • NPI 1255595666
  NPD (past) Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1346466356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LAKE ST",
            "address_2": "STE 240",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011411",
            "telephone_number": "708-660-9113",
            "fax_number": "708-660-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST",
            "address_2": "STE 240",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011411",
            "telephone_number": "708-660-9113",
            "fax_number": "708-660-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARITA L WOODSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "SARITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-660-9113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Santos
• Sara'S Pediatric Care, Inc
• Saradkumar M Lakhani P.C.
• Sarah Mathew NP LLC
• Carla Veronica Saravia, INTERPRETER
• Philip Sarpong, PSYD
• Taylor Sarpong
• Ann Sarpy, MD
• Zyra Z Sarpy
• Marian Rose Sassetti, M.D.

• General Practice Dentistry in Oak Park, IL
• Providers in Oak Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.