Organization Active NPI

S Jon Woods DMD

  • General Practice Dentistry
  • Albany, OR
National Provider Identifier
1760600233
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7492 Issued in OR
Legal business name
S JON WOODS DMD
Practice address
1044 29TH Ave SW
Albany, OR 97321
Phone
(541) 926-8611
Fax
(541) 926-9772
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Stephen Jon Woods, DMD
Title
Owner
Phone
(541) 926-8611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D7492 OR
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D7492 OR Primary

Addresses

Primary practice location

1044 29TH Ave SW
Albany, OR 97321

Mailing address

1044 29TH Ave SW
Albany, OR 97321
Phone (541) 926-8611

Other names 1

  • Woods Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

1044 29th Ave SW
Albany, OR 97321
Phone (541) 926-8611

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1760600233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 29TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "97321",
            "telephone_number": "541-926-8611",
            "fax_number": "541-926-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 29TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "97321",
            "telephone_number": "541-926-8611",
            "fax_number": "541-926-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S JON WOODS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-926-8611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D7492",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woods Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.