James Corbitt Woodson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7553 Issued in NC

Practice address

4810 S Croatan Hwy
Suite 270
Nags Head, NC 27959-8508

Phone

(252) 441-1319

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871512772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ALDER BRANCH RD",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549008",
            "telephone_number": "252-473-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 S CROATAN HWY",
            "address_2": "SUITE 270",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598508",
            "telephone_number": "252-441-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "JAMES",
        "middle_name": "CORBITT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "902J6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Joyner Williams, NP-C
• Amos J Willis, M.D.
• Christopher Winstead-Derlega, M.D. MPH
• Natalie B Woodard, PA-C
• Rebecca Anne Woods, LCSWA
• Mark Stuart Worthen, MD
• Lauren Allison Joyce Zaritsky, MSW, LCSW
• Jessica Zottoli, LPCA
• Gary Edwin Zuniga

• General Practice Dentistry in Nags Head, NC
• Providers in Nags Head, NC by specialty
• General Practice Dentistry in North Carolina

• 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.

Verify at the official NPI Registry.