Individual provider Active NPI

Christina L Wood, DMD

  • Dentist
  • Highlands Ranch, CO
National Provider Identifier
1205322104
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00204320 Issued in CO
Practice address
9358 Dorchester St Ste 103
Highlands Ranch, CO 80129-2511
Phone
(303) 791-0160
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D10848 OR
Dentist 122300000X 00204320 CO Primary

Addresses

Primary practice location

9358 Dorchester St Ste 103
Highlands Ranch, CO 80129-2511

Mailing address

9358 Dorchester St Ste 103
Highlands Ranch, CO 80129-2511
Phone (303) 791-0160

Other practice location 1

Lents Office
8931 SE Foster Rd
Portland, OR 97266-2958
Phone (855) 433-6825

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

LicenseStateTypeSpecialty
00204320COMDDentist
D10848ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Ranch Laser Dentist PastSince Mar 4, 2021 Accepting new patients
Station Dental Group, PC PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1205322104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9358 DORCHESTER ST STE 103",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292511",
            "telephone_number": "303-791-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9358 DORCHESTER ST STE 103",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292511",
            "telephone_number": "303-791-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Lents Office",
            "address_2": "8931 SE Foster Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972662958",
            "country_code": "US",
            "telephone_number": "855-433-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10848",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00204320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.