Individual provider Active NPI

Karl Philip Woods, DMD

  • Dentist
  • Houlton, ME
National Provider Identifier
1992876189
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3343 Issued in ME
Practice address
88 McSheffery Rd
Houlton, ME 04730-3706
Phone
(207) 532-4747
Fax
(207) 532-2981
NPI assigned
Nov 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3343 ME Primary

Addresses

Primary practice location

88 McSheffery Rd
Houlton, ME 04730-3706

Mailing address

88 McSheffery Rd
Houlton, ME 04730-3706
Phone (207) 532-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002407 ME Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6800036377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital PastSince Mar 1, 2012 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Houlton Regional HospitalHoulton, ME, CCN 201308 Hospital Corporate Director Mar 1, 2012
Houlton Regional HospitalHoulton, ME, CCN 20Z308 Hospital Corporate Director Mar 1, 2012
Houlton Family PracticeHoulton, ME, CCN 208501 Rural health clinic Corporate Director Mar 1, 2012
Sigrid E Tompkins Health CenterHoulton, ME, CCN 208508 Rural health clinic Corporate Director Mar 1, 2012

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992876189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MCSHEFFERY RD",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047303706",
            "telephone_number": "207-532-4747",
            "fax_number": "207-532-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MCSHEFFERY RD",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047303706",
            "telephone_number": "207-532-4747",
            "fax_number": "207-532-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KARL",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "3343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.