Individual provider Active NPI

Margaret McKenzie Raymond Woodard, DDS

  • General Practice Dentistry
  • Mechanicsville, VA
National Provider Identifier
1952696932
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413208 Issued in VA
Practice address
8120 Pleasant Grove Rd
Mechanicsville, VA 23116-2343
Phone
(804) 915-1440
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DGD.8200 SC
Dentist 122300000X 0401413208 VA
General Practice Dentistry 1223G0001X 0401413208 VA Primary

Addresses

Primary practice location

8120 Pleasant Grove Rd
Mechanicsville, VA 23116-2343

Mailing address

12 Albemarle Ave
Richmond, VA 23226-1612
Phone (804) 387-7108

Other practice location 1

2039 N Main St
Summerville, SC 29486-7821
Phone (843) 871-0433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DGD.8200SCMDDentist
0401413208VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Summer Dental, LLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1952696932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ALBEMARLE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261612",
            "telephone_number": "804-387-7108",
            "fax_number": "843-871-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PLEASANT GROVE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162343",
            "telephone_number": "804-915-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 N Main St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867821",
            "country_code": "US",
            "telephone_number": "843-871-0433",
            "fax_number": "843-871-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "MARGARET",
        "middle_name": "MCKENZIE RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8200",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413208",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.