Vicki L Woodyard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3671 Issued in WV

Practice address

115 S Charles St
Charles Town, WV 25414-1613

Phone

(304) 725-4492

NPI assigned

Jul 22, 2006

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard Diaz, DDS Inc.

  • General Practice Dentistry
  • Charles Town, WV
  • NPI 1700807856
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1801817952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S CHARLES ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141613",
            "telephone_number": "304-725-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CHARLES ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141613",
            "telephone_number": "304-725-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODYARD",
        "first_name": "VICKI",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Tree Manor - Uha
• Willow Tree SNF LLC (Willow Tree Rehabilitation & Healthcare Center)
• Winchester Foot & Ankle Associates PLLC
• Cheryl Fox Winston
• Bonnie Susette Wisdom, FNP-C
• Tracey Worley
• Garth Bradford Wright, M.D.
• Jessica Wyatt, SLP
• Karen Wysong, RN
• Jeraldine Yesudhas

• General Practice Dentistry in Charles Town, WV
• Providers in Charles Town, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.