Organization Active NPI

Woodward Enterprises

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1710061296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4922 Issued in AZ
Legal business name
WOODWARD ENTERPRISES
Practice address
610 N Alma School Rd
Suite 34
Chandler, AZ 85224
Phone
(480) 726-6697
Fax
(480) 726-6893
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregg M Woodward, DMDNPI 1417176488
Title
Dentist President
Phone
(480) 726-6697

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4922 AZ Primary

Addresses

Primary practice location

610 N Alma School Rd
Suite 34
Chandler, AZ 85224

Mailing address

610 N Alma School Rd
Suite 34
Chandler, AZ 85224
Phone (480) 726-6697

National Provider Directory

National Provider Directory

Locations

610 N Alma School Rd
Ste 34
Chandler, AZ 85224
Phone (480) 726-6697

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710061296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD",
            "address_2": "SUITE 34",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-726-6697",
            "fax_number": "480-726-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD",
            "address_2": "SUITE 34",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-726-6697",
            "fax_number": "480-726-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "480-726-6697",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.