Teresa L Wooddell, DDS,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6153 Issued in NC

Practice address

1144 Carthage St
Sanford, NC 27330-4161

Phone

(919) 774-1733

Fax

(919) 775-2537

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• K. Jasinski, D.M.D., P.C.

  dba Dental Care of Sanford

  • General Practice Dentistry
  • Sanford, NC
  • NPI 1265082390
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467462408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304161",
            "telephone_number": "919-774-1733",
            "fax_number": "919-775-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304161",
            "telephone_number": "919-774-1733",
            "fax_number": "919-775-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODDELL",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "DDS,PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Womack, LAT, MED
• Peggy Steele Womble, PTA
• Women's Health Care Specialist, PA
• Womens Imaging Center
• Christopher Michael Wood, DO
• Melissa Charles Woods, FNP-C
• Alexandra Stanley Woolverton
• Kaniyah Wooten
• Word Up Speech Therapy
• Pazoo Xiong, PA-C

• General Practice Dentistry in Sanford, NC
• Providers in Sanford, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.