Brandon Tyler Woodward, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

7414783-9922 Issued in UT

Practice address

9829 S 1300 E Ste 102
Sandy, UT 84094-4065

Phone

(801) 553-3562

Fax

(801) 553-3564

NPI assigned

Jul 22, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Justin J. Woodward D.D.S., P.C

  • General Practice Dentistry
  • Sandy, UT
  • NPI 1396897906
  NPD (past)

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1841420056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9829 S 1300 E STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944065",
            "telephone_number": "801-553-3562",
            "fax_number": "801-553-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 S 1300 E STE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944065",
            "telephone_number": "801-553-3562",
            "fax_number": "801-553-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "BRANDON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "7414783-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Wolf
• Clint O Wolfe, CSW
• Wonder Arch, Inc. (Foot Solutions)
• Kira Christine Woodland
• Gavin Woods, NP
• Justin J Woodward, D.D.S.
• Matthew Mark Woolley, D.C.
• Riley Worth, NP
• Amber Dawn Wright, PA-C
• Carrie Maxwell Wrigley, LCSW

• Dentist in Sandy, UT
• Providers in Sandy, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.