Active NPI
Debra A Woods, DMD
- Periodontics
- Birmingham, AL
National Provider Identifier
1639399512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 3909
- Practice address
- 628 Gadsden Hwy
Suite 201
Birmingham, AL 35235-2571 - Phone
- (205) 836-3434
- Fax
- (205) 836-3439
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 3909 | AL | Primary |
Addresses
Primary practice location
628 Gadsden Hwy
Suite 201
Birmingham, AL 35235-2571
Mailing address
628 Gadsden Hwy
Suite 201
Birmingham, AL 35235-2571
Phone (205) 836-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3909 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1639399512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 GADSDEN HWY",
"address_2": "SUITE 201",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352352571",
"telephone_number": "205-836-3434",
"fax_number": "205-836-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 GADSDEN HWY",
"address_2": "SUITE 201",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352352571",
"telephone_number": "205-836-3434",
"fax_number": "205-836-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DEBRA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AL",
"license": "3909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.