Reginald Woo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030470 Issued in IL

Practice address

9975 W Lincoln Hwy
Frankfort, IL 60423-2049

Phone

(415) 298-0819

NPI assigned

Oct 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Reginald Woo DMD LTD.

  • Dental Clinic/Center
  • Cicero, IL
  • NPI 1326537887
  NPD Authorized official
• Woo Dental PC

  • Dental Clinic/Center
  • Frankfort, IL
  • NPI 1851062913
  NPD Authorized official

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1609246701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13670 BUCHANAN DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398796",
            "telephone_number": "415-298-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232049",
            "telephone_number": "415-298-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "REGINALD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65155",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Windy City Anesthesia PC
• Winterset of Frankfort
• Julie Wirtz-Millirons
• Ann Wisch, APN
• Woo Dental PC
• Victoria Woodard, FNP-C
• Lori Michelle Woodburn, DDS
• Jaime Lynn Woods, COTA
• Mary Ann Woods, DT
• Y3R LLC

• General Practice Dentistry in Frankfort, IL
• Providers in Frankfort, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.