Daniel Francis Woodlock, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

415 N Main St
White Hall, IL 62092-1148

Phone

(217) 374-6132

Fax

(217) 374-6220

NPI assigned

Feb 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922142124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "WHITE HALL",
            "state": "IL",
            "postal_code": "620921148",
            "telephone_number": "217-374-6132",
            "fax_number": "217-374-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "WHITE HALL",
            "state": "IL",
            "postal_code": "620921148",
            "telephone_number": "217-374-6132",
            "fax_number": "217-374-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLOCK",
        "first_name": "DANIEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Green Unit School Dist 3
• Pamida Stores Operating Co LLC (Pamida Pharmacy #683)
• Pharmacy Plus, Inc.
• Susan Randall
• White Hall Nursing and Rehabilitation Center, LLC

• General Practice Dentistry in White Hall, IL
• Providers in White Hall, IL by specialty
• General Practice Dentistry in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.