Individual provider Active NPI

Daniel Arlan Woodland, DDS

  • General Practice Dentistry
  • Lansing, MI
National Provider Identifier
1902902448
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015221 Issued in MI
Practice address
4124 W St Joseph
Lansing, MI 48917
Phone
(517) 323-3710
Fax
(517) 323-3730
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901015221 MI Primary

Addresses

Primary practice location

4124 W St Joseph
Lansing, MI 48917

Mailing address

4124 W St Joe Hwy
Lansing, MI 48917-5205
Phone (517) 323-3716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160405000013 MI Order and Referring Only - DentistPractitioner - Dentist 7214233758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901015221MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel a Woodland DDS Current Accepting new patients

Locations

4124 W St Joe Hwy
Lansing, MI 48917
Phone (517) 321-3236

Organizations & group practices 1

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1902902448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489175205",
            "telephone_number": "517-323-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 W ST JOSEPH",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-323-3710",
            "fax_number": "517-323-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLAND",
        "first_name": "DANIEL",
        "middle_name": "ARLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.