Organization Active NPI

Stephen O Woodard DDS

  • Dentist
  • Spokane Valley, WA
National Provider Identifier
1710433016
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6242 Issued in WA
Legal business name
STEPHEN O WOODARD DDS
Practice address
1020 S Pines Rd
Spokane Valley, WA 99206
Phone
(509) 924-8585
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Mrs. Tracy Heberlein
Title
Financial Coordinator
Phone
(509) 924-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6242 WA Primary

Addresses

Primary practice location

1020 S Pines Rd
Spokane Valley, WA 99206

Mailing address

1020 S Pines Rd
Spokane Valley, WA 99206-5425
Phone (509) 924-8585

National Provider Directory

National Provider Directory

Locations

1020 S Pines Rd
Spokane Valley, WA 99206
Phone (509) 924-8585

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": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1710433016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065425",
            "telephone_number": "509-924-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-924-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN O WOODARD DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "HEBERLEIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "509-924-8585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "6242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.