Active NPI
Cameron Ross Woodward
- Dentist
- Hampton, VA
National Provider Identifier
1508410143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11338395-9922
- Practice address
- 76 Nealy Blvd BLDG 92
Hampton, VA 23665-2022 - Phone
- (757) 225-7630
- NPI assigned
- Jul 31, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 11338395-9922 | UT | Primary |
Addresses
Primary practice location
76 Nealy Blvd BLDG 92
Hampton, VA 23665-2022
Mailing address
76 Nealy Blvd
Hampton, VA 23665-2022
Phone (757) 225-1523
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11338395-9922 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1508410143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 NEALY BLVD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236652022",
"telephone_number": "757-225-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 NEALY BLVD BLDG 92",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236652022",
"telephone_number": "757-225-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "CAMERON",
"middle_name": "ROSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "11338395-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.