Mathew K Woodward, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

16275 Issued in MD

Practice address

5397 Twin Knolls Rd Ste 18
Columbia, MD 21045-3256

Phone

(410) 730-6001

Fax

(410) 992-4452

NPI assigned

Oct 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 4, 2020 through May 4, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MD Oms SDS, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MD
  • NPI 1225801236
  NPD
• Columbia Oral and Facial Surgery Center, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MD
  • NPI 1598164055
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1679809958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 TWIN KNOLLS RD STE 18",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453256",
            "telephone_number": "410-730-6001",
            "fax_number": "410-992-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5397 TWIN KNOLLS RD STE 18",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453256",
            "telephone_number": "410-730-6001",
            "fax_number": "410-992-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19717 Executive Park Cir",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742639",
            "country_code": "US",
            "telephone_number": "301-916-0486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "MATHEW",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-21",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401415902",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1001847",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "16275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Nicole Woodruff
• Asia Woods, R.N.
• Jamie Gabrielle Woods, LCSW-C
• Patricia M. Woods, LPN
• Sandra L Woods, P.T.
• Greer Elaine Callahan Woolley
• Shaneka Carlisa Woolridge
• Rachael Allyson Wortham, LMSW
• Yorlondo S.M. Wortham, LCPC
• Worthy to Live, LLC

• Oral and Maxillofacial Surgery (Dentist) in Columbia, MD
• Providers in Columbia, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.