Active NPI
Yvette Ann Woodard, DDS
- General Practice Dentistry
- Ogema, MN
National Provider Identifier
1841413747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8057
- Practice address
- 40520 County Highway 34
Ogema, MN 56569-9612 - Phone
- (218) 983-4300
- Fax
- (218) 983-6384
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8057 | TN | Primary |
Addresses
Primary practice location
40520 County Highway 34
Ogema, MN 56569-9612
Mailing address
3863 Cravath Dr
Nashville, TN 37207-3664
Phone (218) 983-4300
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8057 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841413747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3863 CRAVATH DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372073664",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "565699612",
"telephone_number": "218-983-4300",
"fax_number": "218-983-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "YVETTE",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "8057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogema, MN
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.