Active NPI
Richard R Woehrle, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Killeen, TX
National Provider Identifier
1811991672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 17056
- Practice address
- 3106 S W S Young Dr
Ste A101
Killeen, TX 76542-2007 - Phone
- (254) 526-8666
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 17056 | TX | Primary |
Addresses
Primary practice location
3106 S W S Young Dr
Ste A101
Killeen, TX 76542-2007
Mailing address
809 Trailcrest
Harker Heights, TX 76548
Phone (254) 698-6252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01436624 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17056 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811991672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 TRAILCREST",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "76548",
"telephone_number": "254-698-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 S W S YOUNG DR",
"address_2": "STE A101",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765422007",
"telephone_number": "254-526-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOEHRLE",
"first_name": "RICHARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "17056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "01436624",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.