Organization Active NPI

David C. Woodburn, DDS, PA

  • General Practice Dentistry
  • Amarillo, TX
National Provider Identifier
1801067301
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9436 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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.NPI 1366447393
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.