Organization Active NPI

Honore Woodside DDS LTD

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1801959937
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019020800 Issued in IL
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

Updated by the provider on Oct 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Honore Woodside, DDSNPI 1720241987
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.