JEDEDIAH WALKER WOOLDRIDGE
NPI 1336305697
Dentist in Phoenix, AZ

Active since August 05, 2008PECOS Enrolled
3923 E CAMELBACK RD, PHOENIX, AZ 85018(646) 825-1851 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jedediah Walker Wooldridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEDEDIAH WALKER WOOLDRIDGE (NPI 1336305697) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D008267) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336305697
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJEDEDIAH WALKER WOOLDRIDGE
Location Address3923 E CAMELBACK RDPhoenix, AZ 85018-2609
Mailing Address7674 East Minnezona AvenueScottsdale, AZ 85251 · (646) 825-1851
Sole ProprietorYes
Enumeration DateAugust 5, 2008
Last NPPES UpdateAugust 8, 2011
NPI 1336305697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in AZ · D008267 Licensed in NY · 054043
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3923 E CAMELBACK RD, Phoenix, AZ 85018

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jedediah Walker Wooldridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jedediah Wooldridge's NPI number?

The NPI number for Jedediah Wooldridge is 1336305697. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Jedediah Wooldridge located?

Jedediah Wooldridge practices at 3923 E Camelback Rd, Phoenix, AZ 85018. The listed phone number is (646) 825-1851.

What is Jedediah Wooldridge's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jedediah Wooldridge enrolled in Medicare?

Yes. Jedediah Wooldridge is registered in the Medicare PECOS enrollment system.

What insurance does Jedediah Wooldridge accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jedediah Wooldridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jedediah Wooldridge was last updated on August 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.