Michael Woodhead, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2021017235 Issued in MO

Practice address

10208 E State Route 350
Raytown, MO 64138-1805

Phone

(816) 356-2476

NPI assigned

Jul 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Raytown Dental PLLC

  • Dentist
  • Raytown, MO
  • NPI 1205416047
  NPD
• Fountainview Dental Harrisonville PLLC

  • General Practice Dentistry
  • Harrisonville, MO
  • NPI 1669149159
  NPD (past)
• Spring Dental Pryor

  • General Practice Dentistry
  • Pryor, OK
  • NPI 1801333067
  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1740832443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-988-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641381805",
            "telephone_number": "816-356-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHEAD",
        "first_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2021017235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann Williamson
• Nakia Danine Wilson, MSW, LCSW, LSCSW,RPT
• Richard C Wilson, OD
• Sierra Wilson, DDS
• Leslie K Wiscombe, DO
• Wound Ostomy Leg & Foot Care Clinic and Spa LLC
• Sarah Ann Wright
• Xtracare Adult Day Care Center, LLC.
• Xtracomfort Home Health Agency, LLC
• Tracy L Yager, NP

• Dentist in Raytown, MO
• Providers in Raytown, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.