Active NPI
Corrine Kimberly Woo, DDS
- Dentist
- South San Francisco, CA
National Provider Identifier
1801957857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40514
- Practice address
- 225 Spruce Ave
South San Francisco, CA 94080-3631 - Phone
- (650) 588-2466
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40514 | CA | Primary |
Addresses
Primary practice location
225 Spruce Ave
South San Francisco, CA 94080-3631
Mailing address
225 Spruce Ave
South San Francisco, CA 94080-3631
Phone (650) 588-2466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 6, 2016 through Jun 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1801957857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 SPRUCE AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803631",
"telephone_number": "650-588-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SPRUCE AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803631",
"telephone_number": "650-588-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "CORRINE",
"middle_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.