Active NPI
Alan Joseph Wood, D.D.S.
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1063509412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 014485
- Practice address
- 7870 Olentangy River Rd
Suite 205
Columbus, OH 43235-1319 - Phone
- (614) 436-0316
- Fax
- (614) 436-7297
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 014485 | OH | Primary |
Addresses
Primary practice location
7870 Olentangy River Rd
Suite 205
Columbus, OH 43235-1319
Mailing address
7870 Olentangy River Rd
Suite 205
Columbus, OH 43235-1319
Phone (614) 436-0316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501407 | Other | OH | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014485 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Arlington - Bryan Basom DDS LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063509412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7870 OLENTANGY RIVER RD",
"address_2": "SUITE 205",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351319",
"telephone_number": "614-436-0316",
"fax_number": "614-436-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7870 OLENTANGY RIVER RD",
"address_2": "SUITE 205",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351319",
"telephone_number": "614-436-0316",
"fax_number": "614-436-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ALAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "014485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "501407",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.