Organization Active NPI

Michelle a. Woods, DDS, MPH, Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1568680254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35555 Issued in CA
Legal business name
MICHELLE A. WOODS, DDS, MPH, INC
Practice address
8540 S Sepulveda Blvd
Suite 108
Los Angeles, CA 90045-3807
Phone
(310) 676-2922
Fax
(310) 670-4600
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michelle A. Woods IX
Title
Dentist Owner
Phone
(310) 676-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 35555 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd
Suite 108
Los Angeles, CA 90045-3807

Mailing address

8540 S Sepulveda Blvd
Suite 108
Los Angeles, CA 90045-3807
Phone (310) 676-2922

National Provider Directory

National Provider Directory

Locations

8540 S Sepulveda Blvd
Ste 108
Los Angeles, CA 90045
Phone (310) 676-2922

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568680254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-676-2922",
            "fax_number": "310-670-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-676-2922",
            "fax_number": "310-670-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A. WOODS, DDS, MPH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "310-676-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IX"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.