Brad Woodring, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

917 Issued in AK

Practice address

10928 Eagle River Rd Ste 105
Eagle River, AK 99577-8079

Phone

(907) 622-3000

Fax

(907) 622-3002

NPI assigned

Apr 21, 2010

Last updated

Apr 21, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1790002335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 105",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778079",
            "telephone_number": "907-622-3000",
            "fax_number": "907-622-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 105",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778079",
            "telephone_number": "907-622-3000",
            "fax_number": "907-622-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRING",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landen Michael Wohrle, RBT
• Logen Thomas Wohrle
• Doniel Wolfe
• Robin Wolffe, LCSW
• Daisy Woodfork
• Elizabeth Renae Wooten
• Kade Worley
• Barbara A Wortman, R.N.F.A.
• Stephanie M Wright, MA PSYCHOLOGY
• James M Yassick, D.D.S

• General Practice Dentistry in Eagle River, AK
• Providers in Eagle River, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.