Individual provider Active NPI

Lester Woo, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakewood, WA
National Provider Identifier
1902124274
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE61103402 Issued in WA
Practice address
5605 Lakewood Towne Center Blvd SW Ste B
Lakewood, WA 98499-3855
Phone
(253) 200-4049
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 058220 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE61103402 WA Primary

Addresses

Primary practice location

5605 Lakewood Towne Center Blvd SW Ste B
Lakewood, WA 98499-3855

Mailing address

5605 Lakewood Towne Center Blvd SW Ste B
Lakewood, WA 98499-3855

Other practice location 1

121 Dekalb Ave
Brooklyn, NY 11201
Phone (833) 824-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190125001333 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769729946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61103402WAMDOral and Maxillofacial Surgery (Dentist)
058220NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lester P. Woo, DDS, PLLC. Oral and Maxillofacial Surgery Current Accepting new patients
Woo Anesthesia PLLC. Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1902124274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 LAKEWOOD TOWNE CENTER BLVD SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 LAKEWOOD TOWNE CENTER BLVD SW STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993855",
            "telephone_number": "253-200-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11201",
            "country_code": "US",
            "telephone_number": "833-824-2669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO",
        "first_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058220",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE61103402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.