Individual provider Active NPI

Robert Dewayne Woods, D.D.S.

  • General Practice Dentistry
  • Alpharetta, GA
National Provider Identifier
1407978265
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010466 Issued in GA
Practice address
950 N Point Pkwy Ste 175
Alpharetta, GA 30005-5482
Phone
(770) 551-0808
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN010466 GA Primary

Addresses

Primary practice location

950 N Point Pkwy Ste 175
Alpharetta, GA 30005-5482

Mailing address

950 N Point Pkwy Ste 175
Alpharetta, GA 30005-5482
Phone (770) 551-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN010466GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Southern Dental LLC CurrentSince Oct 6, 2024 Accepting new patients
Robert D. Woods DDS, PC Past Accepting new patients

Locations

950 North Point Pkwy
Ste 175
Alpharetta, GA 30005
Phone (770) 551-0808

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407978265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N POINT PKWY STE 175",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055482",
            "telephone_number": "770-551-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N POINT PKWY STE 175",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055482",
            "telephone_number": "770-551-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ROBERT",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.