Organization Active NPI

Monica Woodard DDS MDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Suffolk, VA
National Provider Identifier
1366628182
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401411138 Issued in VA
Legal business name
MONICA WOODARD DDS MDS PC
Practice address
5833 Harbour View Blvd
Suite a
Suffolk, VA 23435-2657
Phone
(757) 686-3955
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Mia Turner
Title
Practice Coordinator
Phone
(757) 686-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0401411138 VA Primary

Addresses

Primary practice location

5833 Harbour View Blvd
Suite a
Suffolk, VA 23435-2657

Mailing address

5833 Harbour View Blvd
Suite a
Suffolk, VA 23435-2657
Phone (757) 686-3955

Other identifiers 1

IdentifierTypeStateIssuer
9180412MedicaidVA

Other names 1

  • WOODARD ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1366628182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 HARBOUR VIEW BLVD",
            "address_2": "SUITE A",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352657",
            "telephone_number": "757-686-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 HARBOUR VIEW BLVD",
            "address_2": "SUITE A",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352657",
            "telephone_number": "757-686-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA WOODARD DDS MDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "757-686-3955"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401411138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9180412",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODARD ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.