Organization Active NPI

R. Craig Wood, DMD, LTD.

  • General Practice Dentistry
  • Riverside, RI
National Provider Identifier
1407114648
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01638 Issued in RI
Legal business name
R. CRAIG WOOD, DMD, LTD.
Practice address
600 Wampanoag TRL
Suite a
Riverside, RI 02915-1511
Phone
(401) 434-2626
Fax
(401) 434-2799
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. R Craig Wood, DMD
Title
Dentist
Phone
(401) 434-2626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DEN01524 RI
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 01638 RI Primary

Addresses

Primary practice location

600 Wampanoag TRL
Suite a
Riverside, RI 02915-1511

Mailing address

600 Wampanoag TRL
Suite a
Riverside, RI 02915-1511
Phone (401) 434-2626

Other identifiers 2

IdentifierTypeStateIssuer
1982759742OtherRIDENTAL
1093729469OtherDENTAL

National Provider Directory

National Provider Directory

Locations

600 Wampanoag Trl
Ste A
Riverside, RI 02915
Phone (401) 434-2626

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1407114648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WAMPANOAG TRL",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151511",
            "telephone_number": "401-434-2626",
            "fax_number": "401-434-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WAMPANOAG TRL",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151511",
            "telephone_number": "401-434-2626",
            "fax_number": "401-434-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. CRAIG WOOD, DMD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-434-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN01524",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "01638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1982759742",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1093729469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.