Active NPI
Paige Woods, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1508102963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61508
- Practice address
- 10450 Friars Rd
San Diego, CA 92120-2340 - Phone
- (619) 359-6569
- NPI assigned
- Dec 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61508 | CA | Primary |
Addresses
Primary practice location
10450 Friars Rd
San Diego, CA 92120-2340
Mailing address
10450 Friars Rd
San Diego, CA 92120-2340
Phone (619) 359-6569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151204002480 | CA | Order and Referring Only - Oral Surgery | 2466752928 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1508102963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 FRIARS RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202340",
"telephone_number": "619-359-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 FRIARS RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202340",
"telephone_number": "619-359-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.