Shauna Woody, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

63133 Issued in CA

Practice address

9840 Hibert St
Suite B-4
San Diego, CA 92131-1071

Phone

(858) 693-5677

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shauna R Woody DDS PLLC

  • Dental Clinic/Center
  • Graham, NC
  • NPI 1831026947
  NPD Authorized official
• S J Shahangian DDS Ms Inc

  dba Scripps Pediatric Dentistry

  • Pediatric Dentistry
  • Alpine, CA
  • NPI 1235750811
  NPD (past)
• S J Shahangian DDS Ms Inc

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1548570203
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1578825170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 2ND ST",
            "address_2": "SUITE #198",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245008",
            "telephone_number": "415-939-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 HIBERT ST",
            "address_2": "SUITE B-4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311071",
            "telephone_number": "858-693-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "SHAUNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "63133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Woodward
• Soane Woodward
• Stephanie Marie Woodward, MD
• Kimberley Woodworth, MSW
• Kristen Ober Woodworth
• Jennalee Shea Wooldridge, PHD
• Kathy Wooldridge
• Nancy Gail Wooldridge, LCSW
• Andrea Lynn Woolf, LMFT
• Brian David Woolford, MD

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.