NPIMap

Organization Active NPI

Brian L Woolsey DDS PC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1689704900
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4380 Issued in AZ
Legal business name
BRIAN L WOOLSEY DDS PC
Practice address
4444 N 32ND St
Ste 240
Phoenix, AZ 85018
Phone
(602) 955-1500
Fax
(602) 955-6309
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Dr. Brian L Woolsey, DDSNPI 1275887176
Title
President
Phone
60295551500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4380 AZ Primary

Addresses

Primary practice location

4444 N 32ND St
Ste 240
Phoenix, AZ 85018

Mailing address

4444 N 32ND St
Ste 240
Phoenix, AZ 85018
Phone (602) 955-1500

National Provider Directory

National Provider Directory

Locations

4444 N 32nd St
Ste 240
Phoenix, AZ 85018
Phone (602) 955-1500

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1689704900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST",
            "address_2": "STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-955-1500",
            "fax_number": "602-955-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST",
            "address_2": "STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-955-1500",
            "fax_number": "602-955-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L WOOLSEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "WOOLSEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "60295551500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.