Brian Michael Woodhull, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10772 Issued in CO

Practice address

10650 Garden Dr
Suite 106
Aurora, CO 80012-7018

Phone

(303) 366-5100

Fax

(303) 731-0832

NPI assigned

Aug 22, 2012

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

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aurora Modern Dentistry, LLP

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1730410978
  NPD (past)

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345593600000",
    "number": "1750639753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 GARDEN DR",
            "address_2": "SUITE 106",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800127018",
            "telephone_number": "303-366-5100",
            "fax_number": "303-731-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 GARDEN DR",
            "address_2": "SUITE 106",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800127018",
            "telephone_number": "303-366-5100",
            "fax_number": "303-731-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHULL",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Voss Woodburn, M.D.
• Katherine Alice Woodburne, PA-C
• Amanda K Woodbury, MA
• Jonathan Woodcock, MD
• Christine R Wooden
• Whitney Jean Woodhull, M.D.
• Samantha A Woodruff, MD
• Susan Woodruff, D.P.T.
• Brittany N Woods-Gooley
• Anastasia Woods, DPT

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.