Susan Wood Endodontics, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9067 Issued in AZ

Legal business name

SUSAN WOOD ENDODONTICS, PLLC

Practice address

10555 N Tatum Blvd Ste A102
Paradise Valley, AZ 85253-1096

Phone

(480) 791-2733

Fax

(480) 701-8400

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Susan Wood, D.D.S.NPI 1942322755

Title

Owner

Phone

(480) 791-2733

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Larae Wood, DDS

  • Endodontics
  • Paradise Valley, AZ
  • NPI 1942322755
  NPD Authorized official

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1457722787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD STE A102",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531096",
            "telephone_number": "480-483-9001",
            "fax_number": "602-246-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD STE A102",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531096",
            "telephone_number": "480-791-2733",
            "fax_number": "480-701-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WOOD ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-791-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "9067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Allan Stohr, PT, DPT
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• Anne Sweet
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• Jenna Tabaczka, PT
• Kevin Philip Theodorou, MD
• Kate Thongtrangan, ACNP

• Dental Clinic/Center in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.