Active NPI
David C. Woodburn, DDS, PA
- General Practice Dentistry
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9436
- Legal business name
- DAVID C. WOODBURN, DDS, PA
- Practice address
- 3609 S Georgia St
Amarillo, TX 79109-4847 - Phone
- (806) 358-7471
- NPI assigned
- Mar 12, 2008
- Last updated
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Charles Woodburn, D.D.S.
- Title
- President
- Phone
- (806) 358-7471
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9436 | TX | Primary |
Addresses
Primary practice location
3609 S Georgia St
Amarillo, TX 79109-4847
Mailing address
3609 S Georgia St
Amarillo, TX 79109-4847
Phone (806) 358-7471
National Provider Directory
National Provider DirectoryLocations
3609 S Georgia St
Amarillo, TX 79109
Phone (806) 358-7471
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Amarillo, TX
- NPI 1366447393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1801067301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 S GEORGIA ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791094847",
"telephone_number": "806-358-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 S GEORGIA ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791094847",
"telephone_number": "806-358-7471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID C. WOODBURN, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "WOODBURN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-358-7471",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "9436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.