Woodlake Family Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WOODLAKE FAMILY DENTAL GROUP PLLC

Doing business as

Woodlake Family Dental

Practice address

2539 S Gessner Rd Ste 7
Houston, TX 77063-2028

Phone

(713) 489-0008

Fax

(713) 338-2288

NPI assigned

Dec 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Xiaoyu Guo, DDSNPI 1275141277

Title

General Dentist

Phone

(713) 489-0008

Specialties & licenses 1

Addresses

Other names 1

• Woodlake Family Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xiaoyu Guo, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1275141277
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1699361725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 S GESSNER RD STE 7",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632028",
            "telephone_number": "713-489-0008",
            "fax_number": "713-338-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 S GESSNER RD STE 7",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632028",
            "telephone_number": "713-489-0008",
            "fax_number": "713-338-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE FAMILY DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "XIAOYU",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "713-489-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlake Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Lee Woodham, MD
• Kristina Demas Woodhouse, M.D.
• Lanorah Woodhouse
• Hazel L Wooding, NP
• Chloe Woodington, MD, MPH
• Woodlake Imaging, L.L.C.
• Woodlands Diagnostics
• Woodlands Doctor Group, PLLC
• Woodlands Family Eye Care PLLC
• Woodlands First Surgical, L.P.

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.