NPIMap

Organization Active NPI

Douglas G. Woodson, DDS PLLC

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1942572391
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4154 Issued in OK
Legal business name
DOUGLAS G. WOODSON, DDS PLLC
Practice address
228 Robert S Kerr Ave
Suite 130
Oklahoma City, OK 73102-5217
Phone
(405) 232-8743
Fax
(405) 232-2309
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Douglas Greg Woodson, DDSNPI 1912039694
Title
Owner
Phone
(405) 232-8743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4154 OK Primary

Addresses

Primary practice location

228 Robert S Kerr Ave
Suite 130
Oklahoma City, OK 73102-5217

Mailing address

228 Robert S Kerr Ave
Suite 130
Oklahoma City, OK 73102-5217
Phone (405) 232-8743

National Provider Directory

National Provider Directory

Locations

228 Robert S Kerr Ave
Ste 130
Oklahoma City, OK 73102
Phone (405) 232-8743

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1942572391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ROBERT S KERR AVE",
            "address_2": "SUITE 130",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731025217",
            "telephone_number": "405-232-8743",
            "fax_number": "405-232-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 ROBERT S KERR AVE",
            "address_2": "SUITE 130",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731025217",
            "telephone_number": "405-232-8743",
            "fax_number": "405-232-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS G. WOODSON, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-232-8743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.