Dillon Tyler Woods, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7806 Issued in NE

Practice address

3549 11TH Ave
Council Bluffs, IA 51501-5641

Phone

(712) 328-0708

NPI assigned

Jul 13, 2022

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drwoods@associatedentistspc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DW Dental LLC

  dba Associate Dentists PC

  • Dental Clinic/Center
  • Council Bluffs, IA
  • NPI 1740005321
  NPD Authorized official
• Associate Dentists, P.C.

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1447249230
  NPD (past)
• Aj& Associates Dental PC

  dba Aspen Dental of Nebraska PC

  • Dentist
  • Omaha, NE
  • NPI 1861715757
  NPD (past)
• Koentjoro Dentistry Dodge LLC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1659013456
  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1376277517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 11TH AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515015641",
            "telephone_number": "712-328-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 11TH AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515015641",
            "telephone_number": "712-328-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "DILLON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "10285",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA DENTAL LICENSE",
            "identifier": "10285",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA DENTAL LICENSE",
            "identifier": "7806",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwoods@associatedentistspc.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3549 11th Ave",
            "city": "Council Bluffs",
            "state": "IA",
            "country_code": "US",
            "postal_code": "515015641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine A. Wiskus
• Kelsey Lee Wittorf, DDS
• Theresa Marie Wolford, LMHP
• Susan Wood
• Denise C Woods, DC
• Ann Marie Wordekemper, PA
• Jean Wright
• Mindy Sue Wright
• Megan N Yank
• Ngnoron Valentine Ella Yapo, LIMHP/LMHC

• Dentist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.