Active NPI
Clara Wood, DMD, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Florence, KY
National Provider Identifier
1427704428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11209
- Practice address
- 7559A Mall Rd
Florence, KY 41042-1401 - Phone
- (513) 772-6500
- NPI assigned
- Feb 28, 2022
- Last updated
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11209 | KY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | RES-30633 | IA |
Addresses
Primary practice location
7559A Mall Rd
Florence, KY 41042-1401
Mailing address
4845 Rialto Rd Ste a
West Chester, OH 45069-2910
Phone (513) 772-6500
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 |
|---|---|---|---|
| 11209 | KY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| RES-30633 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ison Noll Orthodontics LLC | Orthodontics and Dentofacial Orthopedics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Chester, OH
- NPI 1689149320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1427704428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 RIALTO RD STE A",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692910",
"telephone_number": "513-772-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7559A MALL RD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421401",
"telephone_number": "513-772-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CLARA",
"name_prefix": "Dr.",
"credential": "DMD, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "KY",
"license": "11209",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "RES-30633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.