NPIMap

Organization Active NPI

Nelson Wood, DMD, P.C.

  • Dentist
  • W Springfield, MA
National Provider Identifier
1215075098
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15175 Issued in MA
Legal business name
NELSON WOOD, DMD, P.C.
Practice address
367 Memorial Ave
W Springfield, MA 01089-4007
Phone
(413) 263-6616
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nelson Wood, DMD
Title
Owner
Phone
(413) 263-6616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15175 MA Primary

Addresses

Primary practice location

367 Memorial Ave
W Springfield, MA 01089-4007

Mailing address

367 Memorial Ave
W Springfield, MA 01089-4007
Phone (413) 263-6616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215075098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 MEMORIAL AVE",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894007",
            "telephone_number": "413-263-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 MEMORIAL AVE",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894007",
            "telephone_number": "413-263-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON WOOD, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-263-6616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "15175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.