Active NPI
Honore Woodside DDS LTD
- General Practice Dentistry
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019020800
- Legal business name
- HONORE WOODSIDE DDS LTD
- Practice address
- 4711 Golf Rd.
Suite 1225
Skokie, IL 60076 - Phone
- (847) 329-0464
- Fax
- (847) 329-0463
- NPI assigned
- Dec 19, 2006
- 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. Honore Woodside, DDS
- Title
- President
- Phone
- (847) 329-0464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019020800 | IL | Primary |
Addresses
Primary practice location
4711 Golf Rd.
Suite 1225
Skokie, IL 60076
Mailing address
4711 Golf Rd.
Suite 1225
Skokie, IL 60076
Phone (847) 329-0464
Other practice location 1
9933 Lawler Ave
Suite 417
Skokie, IL 60077-3703
Phone (847) 329-0464
National Provider Directory
National Provider DirectoryLocations
4711 Golf Rd
Ste 1225
Skokie, IL 60076
Phone (847) 329-0464
9933 Lawler Ave
Ste 417
Skokie, IL 60077
Phone (847) 329-0464
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
- Skokie, IL
- NPI 1720241987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508371200000",
"number": "1801959937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 GOLF RD.",
"address_2": "SUITE 1225",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60076",
"telephone_number": "847-329-0464",
"fax_number": "847-329-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 GOLF RD.",
"address_2": "SUITE 1225",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60076",
"telephone_number": "847-329-0464",
"fax_number": "847-329-0463"
}
],
"practiceLocations": [
{
"address_1": "9933 Lawler Ave",
"address_2": "Suite 417",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600773703",
"country_code": "US",
"telephone_number": "847-329-0464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HONORE WOODSIDE DDS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2017-10-19",
"status": "A",
"authorized_official_last_name": "WOODSIDE",
"authorized_official_first_name": "HONORE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-329-0464",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019020800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.