DR. GRACE WOO (NPI# 1477062313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477062313 |
| Entity Type | Individual |
| Full Name | DR. GRACE WOO |
| Credential | DDS |
| Practice Address |
1212 12th St Modesto CA 95354-0704 |
| Mailing Address |
16833 Hallmark Ct Castro Valley CA 94552-1632 |
| Practice Telephone | 2092389700 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
101159 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192965 | Grace Woo | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-07-24 |
| 1720519861 | Grace Woo | Family Medicine | 15785 Laguna Canyon Rd Ste 310, Irvine, CA 92618-3178 | 2017-03-21 |
| 1700287786 | Grace Woo | Dentist | 1300 Macdade Blvd, Suite 5, Woodlyn, PA 19094-1500 | 2014-09-10 |
| 1336204023 | Grace Ka-yun Woo | Optometrist | 205 E 64th St, Suite 101, New York, NY 10065-6635 | 2006-12-25 |
| Street Address |
1212 12TH ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-0704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1114195401 | Jeffrey Darren Barton | Dentist | 2501 E Hatch Rd, Modesto, CA 95351-4817 | 2008-02-20 |
| 1366626764 | Jeremy Thomas West | Dentist | 1500 Mchenry Ave, Modesto, CA 95350-4529 | 2007-12-20 |
| 1932380201 | Amy Elaine Buchler | Dentist | 1236 Floyd Ave Ste C, Modesto, CA 95350-2472 | 2007-11-15 |
| 1659592285 | Matthew D Swatman | Dentist | 400 E. Orangeburg Avenue, Suite 3, Modesto, CA 95350 | 2007-05-01 |
| 1104044312 | Ronald Lynn Champion | Dentist | 4101 Tully Rd Ste 401, Modesto, CA 95356-8982 | 2007-04-23 |
| 1720204332 | Stan R Heiner | Dentist | 1540 Oakdale Rd, Modesto, CA 95355-3306 | 2007-04-18 |
| 1811024227 | Sam Paregian | Dentist | 1601 Mchenry Village Wy, #8, Modesto, CA 95350 | 2007-02-27 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on DR. GRACE WOO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.