NPIMap

Organization Active NPI

Leighton W Wood DDS Ms P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bristol, VA
National Provider Identifier
1467725879
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401413166 Issued in VA
Legal business name
LEIGHTON W WOOD DDS MS P.C.
Practice address
103 Linden Square Drive
Bristol, VA 24202
Phone
(276) 642-0043
Fax
(276) 642-0077
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Dr. Leighton W Wood, DDS, MS
Title
Owner
Phone
(276) 642-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0401413166 VA Primary

Addresses

Primary practice location

103 Linden Square Drive
Bristol, VA 24202

Mailing address

103 Linden Square Drive
Bristol, VA 24202
Phone (276) 642-0043

Other names 1

  • Tri-Cities Orthodontic Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Leighton W Wood DDS Ms PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1467725879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LINDEN SQUARE DRIVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24202",
            "telephone_number": "276-642-0043",
            "fax_number": "276-642-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LINDEN SQUARE DRIVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24202",
            "telephone_number": "276-642-0043",
            "fax_number": "276-642-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGHTON W WOOD DDS MS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LEIGHTON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-642-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401413166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Cities Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.