Judith R Woodruff, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2401 Issued in WV

Practice address

1319 Hal Greer Blvd
Huntington, WV 25701-3803

Phone

(304) 529-6060

Fax

(304) 529-6062

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

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 WV

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

Interoperability endpoints

• Direct secure messaging: jwoodruff20152@valleyhealthsystems.direct-ci.com

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.

• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1477216919
  Medicare reassignment NPD
• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1720333461
  Medicare reassignment NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922104769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013803",
            "telephone_number": "304-529-6060",
            "fax_number": "304-529-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013803",
            "telephone_number": "304-529-6060",
            "fax_number": "304-529-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "JUDITH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136708000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyder Martin Woodcock
• Chancelor Wooding
• Katrina Lynn Wooding
• Tia Wooding
• Denise Marie Woodruff
• Alyssa Woodrum, M.S., CF-SLP
• Betty Lou Woodrum
• Curtis D Woodrum
• Jessica Renee Woodrum, BA
• Danielle Lee Woods-Huffman, LGSW

• General Practice Dentistry in Huntington, WV
• Providers in Huntington, WV by specialty
• General Practice Dentistry in West Virginia

• 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.
• 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.