Individual provider Active NPI

Roderick Peter Woodhead, D.D.S

  • Dentist
  • Tallahassee, FL
National Provider Identifier
1770562928
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29995 Issued in FL
Practice address
960 Learning Way
Suite 3400
Tallahassee, FL 32306-0001
Phone
(850) 644-5255
NPI assigned
Jan 15, 2006
Last updated
May 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29995 FL Primary
General Practice Dentistry 1223G0001X 041030 NY

Addresses

Primary practice location

960 Learning Way
Suite 3400
Tallahassee, FL 32306-0001

Mailing address

960 Learning Way
Suite 3400
Tallahassee, FL 32306-0001
Phone (850) 644-5255

Other names 1

  • Peter Roderick Woodhead Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20150602001213 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193046241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN29995FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Dental Associates, PLLC General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1770562928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 LEARNING WAY",
            "address_2": "SUITE 3400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323060001",
            "telephone_number": "850-644-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LEARNING WAY",
            "address_2": "SUITE 3400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323060001",
            "telephone_number": "850-644-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHEAD",
        "first_name": "RODERICK",
        "middle_name": "PETER",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-15",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29995",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "WOODHEAD",
            "middle_name": "RODERICK",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.