Organization Active NPI

Woods Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bend, OR
National Provider Identifier
1629547682
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WOODS ORTHODONTICS LLC
Practice address
2500 NE Twin Knolls Dr Ste 250
Bend, OR 97701-4786
Phone
(541) 385-3104
Fax
(541) 797-6700
NPI assigned
Nov 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Dr. Shannon Woods, DMD, MSNPI 1992181838
Title
Orthodontist/Owner/Member
Phone
(541) 385-3104

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2500 NE Twin Knolls Dr Ste 250
Bend, OR 97701-4786

Mailing address

2500 NE Twin Knolls Dr Ste 250
Bend, OR 97701-4786
Phone (541) 385-3104

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1629547682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NE TWIN KNOLLS DR STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014786",
            "telephone_number": "541-385-3104",
            "fax_number": "541-797-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE TWIN KNOLLS DR STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014786",
            "telephone_number": "541-385-3104",
            "fax_number": "541-797-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER/MEMBER",
        "authorized_official_telephone_number": "541-385-3104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.