Active NPI
David Woods
- Driver
- Marion, IL
National Provider Identifier
1780216622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- W320-1676-0107
- Practice address
- 802 Mountaineer LN Apt C
Marion, IL 62959-4132 - Phone
- (618) 841-8723
- NPI assigned
- Feb 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | W320-1676-0107 | IL | Primary |
| Driver | 172A00000X |
Addresses
Primary practice location
802 Mountaineer LN Apt C
Marion, IL 62959-4132
Mailing address
802 Mountaineer LN Apt C
Marion, IL 62959-4132
Phone (618) 841-8723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W320-1676-0107 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581206400000",
"number": "1780216622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 MOUNTAINEER LN APT C",
"city": "MARION",
"state": "IL",
"postal_code": "629594132",
"telephone_number": "618-841-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 MOUNTAINEER LN APT C",
"city": "MARION",
"state": "IL",
"postal_code": "629594132",
"telephone_number": "618-841-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-09",
"last_updated": "2020-02-09",
"certification_date": "2020-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "W320-1676-0107",
"primary": true
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.