George Michael Woodard, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4549 Issued in NC

Practice address

6829 Falls of Neuse Rd Ste 106
Raleigh, NC 27615-5385

Phone

(919) 870-5905

Fax

(919) 870-8194

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• G. Michael Woodard DDS PA

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1750436499
  NPD (past) Authorized official
• Davis and Perry, DDS, PLLC

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1447608500
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497800130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 FALLS OF NEUSE RD STE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155385",
            "telephone_number": "919-870-5905",
            "fax_number": "919-870-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 FALLS OF NEUSE RD STE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155385",
            "telephone_number": "919-870-5905",
            "fax_number": "919-870-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS  PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99484",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8999484",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Renika Wood, MS. LCAS
• Dean Franklin Woodall, DDS
• Abigail Paige Woodard, PT, DPT
• Bridget Lucas Woodard, RN
• Ciera Nicole Woodard, PHARMD
• Martin D Woodard, MS, LCAS
• Paul Richard Woodard, MD
• Ramir Woodard, LCSWA, LCASA
• Renee Woodberry, BSN-RN
• Michael Woodbury, DC

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, 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 9, 2007; 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.