NPIMap

Organization Active NPI

Leighton W Wood DDS, M.S., PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johnson City, TN
National Provider Identifier
1487782652
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3117 Issued in TN
Legal business name
LEIGHTON W WOOD DDS, M.S., PC
Practice address
2333 Knob Creek Rd
Ste 10
Johnson City, TN 37604-2007
Phone
(423) 392-9898
Fax
(423) 392-0731
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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
(423) 392-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3117 TN Primary

Addresses

Primary practice location

2333 Knob Creek Rd
Ste 10
Johnson City, TN 37604-2007

Mailing address

2025 Meadowview Pkwy Ste 200
Kingsport, TN 37660-7387
Phone (423) 392-9898

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1487782652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MEADOWVIEW PKWY STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607387",
            "telephone_number": "423-392-9898",
            "fax_number": "423-392-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD",
            "address_2": "STE 10",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-392-9898",
            "fax_number": "423-392-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGHTON W WOOD DDS, M.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2009-09-10",
        "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": "423-392-9898",
        "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": "TN",
            "license": "3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Cities Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.