NPIMap

Organization Active NPI

James M. Woods DMD, PSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Paducah, KY
National Provider Identifier
1689896771
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5082 Issued in KY
Legal business name
JAMES M. WOODS DMD, PSC
Practice address
2307 Kentucky Ave.
Paducah, KY 42003-3243
Phone
(270) 443-7405
Fax
(270) 443-7819
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. James Michael Woods, D.M.D.NPI 1912983842
Title
President
Phone
(270) 443-7405

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 5082 KY Primary

Addresses

Primary practice location

2307 Kentucky Ave.
Paducah, KY 42003-3243

Mailing address

2307 Kentucky Ave.
Paducah, KY 42003-3243
Phone (270) 443-7405

Other identifiers 1

IdentifierTypeStateIssuer
61900023MedicaidKY

Other names 1

  • Bluegrass Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2307 Kentucky Ave
Rm D104
Paducah, KY 42003

2307 Kentucky Ave
Paducah, KY 42003
Phone (270) 443-7405

Practitioners & affiliated clinicians

Practitioners 2

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": "1425859200000",
    "number": "1689896771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 KENTUCKY AVE.",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033243",
            "telephone_number": "270-443-7405",
            "fax_number": "270-443-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 KENTUCKY AVE.",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033243",
            "telephone_number": "270-443-7405",
            "fax_number": "270-443-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. WOODS DMD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-443-7405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "5082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900023",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.