Individual provider Active NPI

Clifton Woods, MD

  • Otolaryngology Physician
  • Irving, TX
National Provider Identifier
1710417456
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
T4607 Issued in TX
Practice address
400 W Ih 635 Fwy Ste 360
Irving, TX 75063-3764
Phone
(972) 402-8404
Fax
(972) 695-8796
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X T4607 TX Primary

Addresses

Primary practice location

400 W Ih 635 Fwy Ste 360
Irving, TX 75063-3764

Mailing address

400 W Ih 635 Fwy Ste 360
Irving, TX 75063-3764
Phone (972) 402-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404000605 TX Practitioner - Otolaryngology 7719373588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Oklahoma College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irving Coppell Ear, Nose and ThroatGroup PAC ID 0042229726, 4 clinicians

Practice addresses (Care Compare)

400 W Ih
635 Suite 360
Irving, TX 75063-3764

400W Ih 635 Fwy
Suite 360
Irving, TX 75063-3764
Phone (972) 402-8404

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Irving Coppell Ear, Nose & Throat Otolaryngology CurrentSince Mar 17, 2022 Accepting new patients

Locations

400 W Interstate 635
Ste 360
Irving, TX 75063
Phone (972) 402-8404

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1710417456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W IH 635 FWY STE 360",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633764",
            "telephone_number": "972-402-8404",
            "fax_number": "972-695-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W IH 635 FWY STE 360",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633764",
            "telephone_number": "972-402-8404",
            "fax_number": "972-695-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "T4607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.