Active NPI
Alexandra Woo, DMD
- Endodontics
- Glen Burnie, MD
National Provider Identifier
1639739378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 17734
- Practice address
- 808 Landmark Dr Ste 221
Glen Burnie, MD 21061-4985 - Phone
- (410) 896-1737
- NPI assigned
- Jun 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 30.026209 | OH | |
| Endodontics | 1223E0200X | 17734 | MD | Primary |
Addresses
Primary practice location
808 Landmark Dr Ste 221
Glen Burnie, MD 21061-4985
Mailing address
1800 Lennox Flats Dr
Columbus, OH 43212-1480
Phone (443) 846-5221
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 |
|---|---|---|---|
| 17734 | MD | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1639739378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 LENNOX FLATS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432121480",
"telephone_number": "443-846-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 LANDMARK DR STE 221",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614985",
"telephone_number": "410-896-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "ALEXANDRA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "30.026209",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "17734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.