NPIMap

Organization Active NPI

L. Keith Woody DMD, Inc.

  • Dentist
  • Paintsville, KY
National Provider Identifier
1346639366
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6240 Issued in KY
Legal business name
L. KEITH WOODY DMD, INC.
Practice address
325 Broadway St
Paintsville, KY 41240-1348
Phone
(606) 789-9092
Fax
(606) 789-4428
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
L. Keith Woody, DMDNPI 1629142039
Title
Owner
Phone
(606) 789-9092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6240 KY Primary

Addresses

Primary practice location

325 Broadway St
Paintsville, KY 41240-1348

Mailing address

P.O. Box 1661
325 Broadway St
Paintsville, KY 41240
Phone (606) 789-9092

Other identifiers 2

IdentifierTypeStateIssuer
381COD3224MedicaidWV
60062404MedicaidKY

Other names 1

  • Lloyd K. Woody Former legal business name

National Provider Directory

National Provider Directory

Locations

325 Broadway St
Paintsville, KY 41240
Phone (606) 789-9092

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1346639366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1661",
            "address_2": "325 BROADWAY ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240",
            "telephone_number": "606-789-9092",
            "fax_number": "606-789-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BROADWAY ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401348",
            "telephone_number": "606-789-9092",
            "fax_number": "606-789-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. KEITH WOODY DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "L. KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-789-9092",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381COD3224",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60062404",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lloyd K. Woody",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.