Active NPI
Robert Wood, D.M.D.
- Dentist
- Philadelphia, PA
National Provider Identifier
1225155161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS024717L
- Practice address
- 5521 Greene St
Philadelphia, PA 19144-2805 - Phone
- (215) 438-4240
- NPI assigned
- Mar 24, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS024717L | PA | Primary |
Addresses
Primary practice location
5521 Greene St
Philadelphia, PA 19144-2805
Mailing address
5521 Greene St
Philadelphia, PA 19144-2805
Phone (215) 438-4240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01010692-02 | Medicaid | PA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS024717L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1225155161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5521 GREENE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191442805",
"telephone_number": "215-438-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5521 GREENE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191442805",
"telephone_number": "215-438-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS024717L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01010692-02",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.