Organization Active NPI

Jason D Woolsey, DDS, PA

  • Dentist
  • Ozark, AR
National Provider Identifier
1932477759
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3705 Issued in AR
Legal business name
JASON D WOOLSEY, DDS, PA
Doing business as
Woolsey Family Dentistry
Practice address
1205 West Commercial
Ozark, AR 72949
Phone
(479) 667-2090
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Jason Daniel Woolsey
Title
Dentist
Phone
(479) 667-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3705 AR Primary

Addresses

Primary practice location

1205 West Commercial
Ozark, AR 72949

Mailing address

1205 West Commercial St.
Ozark, AR 72949

Other names 1

  • Woolsey Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1205 W Commercial St
Ozark, AR 72949
Phone (479) 667-2090

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1932477759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WEST COMMERCIAL ST.",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "72949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 WEST COMMERCIAL",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "72949",
            "telephone_number": "479-667-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D WOOLSEY, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "WOOLSEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-667-2090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woolsey Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.