Individual provider Active NPI

Benjamin Woolnough, DMD

  • General Practice Dentistry
  • North Adams, MA
National Provider Identifier
1487039186
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1857327 Issued in MA
Practice address
98 Church St
North Adams, MA 01247-4363
Phone
(413) 398-4331
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6211 AL
General Practice Dentistry 1223G0001X DN1857327 MA Primary

Addresses

Primary practice location

98 Church St
North Adams, MA 01247-4363

Mailing address

98 Church St
North Adams, MA 01247-4363
Phone (413) 398-4331

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
6211ALMDGeneral Practice Dentistry
DN1857327MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Woolnough Dental PLLC Current Accepting new patients
First Dental, PC Past Accepting new patients

Locations

98 Church St
North Adams, MA 01247
Phone (413) 398-4331

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1487039186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CHURCH ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474363",
            "telephone_number": "413-398-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CHURCH ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474363",
            "telephone_number": "413-398-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLNOUGH",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6211",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.