Jay Scott Wooster, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

03360 Issued in SC

Practice address

591 Browns Cove Rd
Unit a
Ridgeland, SC 29936-7280

Phone

(843) 645-7844

Fax

(843) 645-7846

NPI assigned

Aug 8, 2006

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

Enrolled in SC

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

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.

• Wooster Dental Care PC

  • Dental Clinic/Center
  • Ridgeland, SC
  • NPI 1982036646
  NPD (past) Authorized official
• Wooster Dental LLC

  • Dental Clinic/Center
  • Ridgeland, SC
  • NPI 1437952850
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1912917733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 BROWNS COVE RD STE A",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299367281",
            "telephone_number": "843-645-7844",
            "fax_number": "843-645-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 BROWNS COVE RD",
            "address_2": "UNIT A",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299367280",
            "telephone_number": "843-645-7844",
            "fax_number": "843-645-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOSTER",
        "first_name": "JAY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "03360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA",
            "identifier": "1912917733",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Francis White, M.D.
• Joyce Lorraine Willis
• Paula Marie Willis, LPN
• Wooster Dental Care PC
• Wooster Dental LLC
• Marc Wooster, D.M.D.
• Wright Directions, LLC
• Wright Directions, LLC
• Cassandra A Wright, APRN
• Tyese Wright, DDS

• Dentist in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.