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JON MICHAEL WOODRUFF DDS
NPI 1366435331
Dentist - General Practice in Philadelphia, PA

Active since August 25, 2005
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134(215) 302-3156(215) 329-2369 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jon Michael Woodruff Dds NPPES

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

JON MICHAEL WOODRUFF DDS (NPI 1366435331) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS044372) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1366435331
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJON MICHAEL WOODRUFFCredential: DDS
Location Address861 E ALLEGHENY AVEPhiladelphia, PA 19134-2401
Mailing Address861 E Allegheny AvePhiladelphia, PA 19134-2401 · (215) 302-3156 · Fax (215) 329-2369
Phone(215) 302-3156
Fax(215) 329-2369
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1366435331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS044372
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 6814 (KS), DS044372 (PA)
861 E ALLEGHENY AVE, Philadelphia, PA 19134
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Other Identifiers 4

Medicaid100225410-BKS
Other017363KS · Blue Cross Blue Shield
Medicaid1042785600001PA
Other000781486United Concordia Of Ks

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY EDWARD O'BRIEN LPC
Counselor (Professional)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 302-3600
DR. MIRIAM BOLS DMD, MPH
Dentist (General Practice)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 302-3600
ANNA ELIZABETH PERKINS LCSW
Social Worker (Clinical)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 831-1100
MS. SAMANTHA ELIZABETH BAKER-EVENS APRN
Nurse Practitioner (Family)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 831-1100
REBECCA GRABER LCSW
Social Worker (Clinical)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 302-3600
CHARLES YOUNG NP
Nurse Practitioner (Family)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 831-1100
DARIA CHACON MD
Internal Medicine
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 831-1100
MARYANN SALIB D.O.
Preventive Medicine (Public Health & General Preventive Medicine)
861 E ALLEGHENY AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 831-1100

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 Jon Woodruff's NPI number?

The NPI number for Jon Woodruff is 1366435331. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Jon Woodruff located?

Jon Woodruff practices at 861 E Allegheny Ave, Philadelphia, PA 19134. The listed phone number is (215) 302-3156.

What is Jon Woodruff's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jon Woodruff accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Jon Woodruff 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 Jon Woodruff was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.