Active NPI
Stephanie D Woods, DDS
- Dentist
- Perry, FL
National Provider Identifier
1962465351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT121
- Practice address
- 1215 N Peacock Ave
Perry, FL 32347-2117 - Phone
- (850) 584-5087
- Fax
- (850) 584-8653
- NPI assigned
- Apr 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DT121 | FL | Primary |
Addresses
Primary practice location
1215 N Peacock Ave
Perry, FL 32347-2117
Mailing address
1215 N Peacock Ave
Perry, FL 32347-2117
Phone (850) 584-5087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000405600 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT121 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1962465351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 N PEACOCK AVE",
"city": "PERRY",
"state": "FL",
"postal_code": "323472117",
"telephone_number": "850-584-5087",
"fax_number": "850-584-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 N PEACOCK AVE",
"city": "PERRY",
"state": "FL",
"postal_code": "323472117",
"telephone_number": "850-584-5087",
"fax_number": "850-584-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "STEPHANIE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DT121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000405600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.