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DR. JONATHAN H WOODYARD DMD
NPI 1790943454
Dentist - General Practice in Paducah, KY

Active since May 29, 2008PECOS Enrolled
4915 VILLAGE SQUARE DR, PADUCAH, KY 42001(270) 408-1321 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jonathan H Woodyard Dmd NPPES

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

DR. JONATHAN H WOODYARD DMD (NPI 1790943454) is an individual general practice provider in Paducah, Kentucky, licensed in Kentucky (KY 8646) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790943454
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHAN H WOODYARDCredential: DMD
Location Address4915 VILLAGE SQUARE DRPaducah, KY 42001-9073
Mailing Address4915 Village Square DrPaducah, KY 42001-9073 · (270) 408-1321
Phone(270) 408-1321
Sole ProprietorYes
Enumeration DateMay 29, 2008
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1790943454 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 KY · KY 8646
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4915 VILLAGE SQUARE DR, Paducah, KY 42001
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan H Woodyard Dmd 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 42001 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 Jonathan Woodyard's NPI number?

The NPI number for Jonathan Woodyard is 1790943454. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Jonathan Woodyard located?

Jonathan Woodyard practices at 4915 Village Square Dr, Paducah, KY 42001. The listed phone number is (270) 408-1321.

What is Jonathan Woodyard's specialty?

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

Is Jonathan Woodyard enrolled in Medicare?

Yes. Jonathan Woodyard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Woodyard was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.