Active NPI
Parker Woodruff, DMD
- Dentist
- Peoria, AZ
National Provider Identifier
1649895707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010702
- Practice address
- 10184 W Happy Valley Pkwy Ste 195
Peoria, AZ 85383-1254 - Phone
- (805) 861-8609
- NPI assigned
- Jun 14, 2020
- Last updated
- Jul 10, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D010702 | AZ | Primary |
Addresses
Primary practice location
10184 W Happy Valley Pkwy Ste 195
Peoria, AZ 85383-1254
Mailing address
9207 W Bent Tree Dr
Peoria, AZ 85383-5154
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010702 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker N Woodruff DMD PLLC | Dentist | Current | Accepting new patients |
Locations
10184 W Happy Valley Pkwy
Ste 195
Peoria, AZ 85383
Phone (623) 261-2378
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Peoria, AZ
- NPI 1144111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1649895707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9207 W BENT TREE DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853835154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10184 W HAPPY VALLEY PKWY STE 195",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831254",
"telephone_number": "805-861-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "PARKER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-14",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.