Jonathan Allen Woolfolk, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3602-11 Issued in MS

Practice address

301 Hospital Rd
Starkville, MS 39759-2155

Phone

(662) 323-3245

Fax

(662) 323-6004

NPI assigned

Jun 29, 2011

Last updated

Jun 29, 2011By 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

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Peoples Dental PA

  • Dental Clinic/Center
  • Starkville, MS
  • NPI 1144735481
  NPD Authorized official
• Starkville Smiles, P.a.

  • Dental Clinic/Center
  • Starkville, MS
  • NPI 1093431983
  NPD Authorized official

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1891082715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592155",
            "telephone_number": "662-323-3245",
            "fax_number": "662-323-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592155",
            "telephone_number": "662-323-3245",
            "fax_number": "662-323-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLFOLK",
        "first_name": "JONATHAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3602-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe S Wood
• Woodhill Wound Services, LLC
• Wendie Wren Woods, LPC
• Alissa Leann Woodward, P-LPC
• Elizabeth Woolfolk
• Mary Elizabeth Wooten, PHARM D
• Lease Wordlaw, NURSE PRACTITONER
• Regina Sierra Yarbrough
• Kimberly N Yeatman, RD, LD
• Ketrina Young, OT

• General Practice Dentistry in Starkville, MS
• Providers in Starkville, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.