Matthew Warren Woolsey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036504 Issued in NY

Practice address

601B W Washington St
Geneva, NY 14456-2119

Phone

(315) 781-8448

Fax

(315) 781-8444

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1811030141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145270423",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562119",
            "telephone_number": "315-781-8448",
            "fax_number": "315-781-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLSEY",
        "first_name": "MATTHEW",
        "middle_name": "WARREN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Wild
• Jillian Wiley, AU.D.
• Terri Wilston-Bashnick, LMSW
• Helen Wong, MD
• Amy Lynne Wooden, LPN
• Jessie Lynn Wright, PHARMD
• Tracey L. Yacuzzo, D.P.T.
• Keri S Yates, LMT
• Christine Yu, M.D.
• Edward Joseph Zgleszewski, M.D.

• General Practice Dentistry in Geneva, NY
• Providers in Geneva, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.