Organization Active NPI

Thomas Woodard DDS P C

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Norfolk, VA
National Provider Identifier
1659592897
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
401008079 Issued in VA
Legal business name
THOMAS WOODARD DDS P C
Practice address
415 N Military Hwy Ste 8
Norfolk, VA 23502-5407
Phone
(757) 455-5040
Fax
(757) 455-5043
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Thomas Woodard, DDS
Title
Orthodontist
Phone
(757) 455-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 401008079 VA Primary

Addresses

Primary practice location

415 N Military Hwy Ste 8
Norfolk, VA 23502-5407

Mailing address

415 N Military Hwy Ste 8
Norfolk, VA 23502-5407
Phone (757) 455-5040

Other identifiers 1

IdentifierTypeStateIssuer
9180412MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Thomas Woodard DDS P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

415 N Military Hwy
Ste 8
Norfolk, VA 23502
Phone (757) 455-5040

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1659592897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MILITARY HWY STE 8",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025407",
            "telephone_number": "757-455-5040",
            "fax_number": "757-455-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MILITARY HWY STE 8",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025407",
            "telephone_number": "757-455-5040",
            "fax_number": "757-455-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS WOODARD DDS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "757-455-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "401008079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9180412",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.