Individual provider Active NPI

Michael N Woodruff, DDS

  • Dentist
  • Marksville, LA
National Provider Identifier
1548219850
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3484 Issued in LA
Practice address
135 La Rue Medecine St
Marksville, LA 71351-2637
Phone
(318) 253-6567
Fax
(318) 253-6567
NPI assigned
May 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3484 LA Primary

Addresses

Primary practice location

135 La Rue Medecine St
Marksville, LA 71351-2637

Mailing address

135 La Rue Medecine St
Marksville, LA 71351-2637
Phone (318) 253-6567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208001544 LA Order and Referring Only - DentistPractitioner - Dentist 5092019331

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548219850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LA RUE MEDECINE ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512637",
            "telephone_number": "318-253-6567",
            "fax_number": "318-253-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LA RUE MEDECINE ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512637",
            "telephone_number": "318-253-6567",
            "fax_number": "318-253-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "3484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.