Organization Active NPI

Ryan C Woo Dental Corporation

  • General Practice Dentistry
  • San Leandro, CA
National Provider Identifier
1538795067
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RYAN C WOO DENTAL CORPORATION
Doing business as
Woo Family Dentistry
Practice address
433 Estudillo Ave Ste 107
San Leandro, CA 94577-4915
Phone
(510) 351-0931
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Dr. Ryan Woo, DDSNPI 1932583986
Title
Owner
Phone
(510) 909-2144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

433 Estudillo Ave Ste 107
San Leandro, CA 94577-4915

Mailing address

4105 St Helena Way
Dublin, CA 94568-4729
Phone (510) 909-2144

Other names 1

  • Woo Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryancwoodds@woofamilydentistry.com

National Provider Directory

National Provider Directory

Locations

433 Estudillo Ave
Ste 107
San Leandro, CA 94577
Phone (510) 351-0931

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1538795067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 ST HELENA WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684729",
            "telephone_number": "510-909-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 ESTUDILLO AVE STE 107",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774915",
            "telephone_number": "510-351-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN C WOO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-909-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryancwoodds@woofamilydentistry.com",
            "affiliation": "N",
            "address_1": "433 Estudillo Ave Ste 107",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945774915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Woo Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.