Organization Active NPI

Donal R Woodward DDS, Inc.

  • Oral and Maxillofacial Pathology Dentistry
  • Tulsa, OK
National Provider Identifier
1710175484
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
4638 Issued in OK
Legal business name
DONAL R WOODWARD DDS, INC.
Practice address
6143 E 91St St
Tulsa, OK 74137-3104
Phone
(918) 492-6994
Fax
(918) 496-8711
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Donal R Woodward, DDSNPI 1043349855
Title
President
Phone
(918) 492-6994

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
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 4638 OK Primary

Addresses

Primary practice location

6143 E 91St St
Tulsa, OK 74137-3104

Mailing address

6143 E 91St St
Tulsa, OK 74137-3104
Phone (918) 492-6994

National Provider Directory

National Provider Directory

Locations

6143 E 91st St
Tulsa, OK 74137
Phone (918) 492-6994

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1710175484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373104",
            "telephone_number": "918-492-6994",
            "fax_number": "918-496-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373104",
            "telephone_number": "918-492-6994",
            "fax_number": "918-496-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONAL R WOODWARD DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "DONAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-492-6994",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OK",
            "license": "4638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.