Individual provider Active NPI

Chalmers Rieger Wood III, DDS

  • Dentist
  • Tulsa, OK
National Provider Identifier
1396716726
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4282 Issued in OK
Practice address
3520 E 31St St
Tulsa, OK 74135-1505
Phone
(918) 742-2488
Fax
(918) 742-4875
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4282 OK Primary

Addresses

Primary practice location

3520 E 31St St
Tulsa, OK 74135-1505

Mailing address

3520 E 31St St
Tulsa, OK 74135-1505
Phone (918) 742-2488

Other practice location 1

1201 N. Stonewall Ave.
Okc, OK 73117
Phone (405) 271-6326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323000453 OK Order and Referring Only - DentistPractitioner - Dentist 7618274465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C. Rieger Wood, III, D.D.S., Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1396716726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351505",
            "telephone_number": "918-742-2488",
            "fax_number": "918-742-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351505",
            "telephone_number": "918-742-2488",
            "fax_number": "918-742-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N. Stonewall Ave.",
            "address_purpose": "LOCATION",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73117",
            "country_code": "US",
            "telephone_number": "405-271-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CHALMERS",
        "middle_name": "RIEGER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.