Woodland Familydentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOODLAND FAMILYDENTISTRY

Practice address

4670 Oak Grove Pkwy N
Brooklyn Park, MN 55443-4062

Phone

(763) 315-2823

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Louise Dewolf Felices, DMDNPI 1154556561

Title

Owner/Dentist

Phone

(402) 250-6693

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Louise Dewolf Felices, DMD

  • Dentist
  • Mounds View, MN
  • NPI 1154556561
  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1487497053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W GOLDEN LAKE RD",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141703",
            "telephone_number": "402-250-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 OAK GROVE PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434062",
            "telephone_number": "763-315-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND FAMILYDENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DEWOLF FELICES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "402-250-6693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Denise Winters
• Wisdom Care Services LLC
• Darci Witasek, MA LMFT
• Solomon T Woldegiorgis, MD
• Stacey Lynn Wolfgram, MA, LMFT
• Mackenzie Worden, DC
• Wulff Chiropractic Inc. (Brooklyn Park Chiropractic)
• Joel B Wulff, D.C.
• Ingrid Ruth Wyckoff, APRN
• Charity Chue Xiong

• Dental Clinic/Center in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.