Jacob Alan Wood, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

58618 Issued in CA

Practice address

502 First St Ste B
Paso Robles, CA 93446-3764

Phone

(805) 239-9597

Fax

(805) 239-4142

NPI assigned

Sep 12, 2016

Last updated

Mar 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jacob Wood Dental Corporation

  dba Gateway Dental Practice

  • Dentist
  • Paso Robles, CA
  • NPI 1700534898
  NPD Authorized official
• Kathryn a. McFarland, DDS & Edith M. Pallencaoe, DDS, Inc.

  • General Practice Dentistry
  • Paso Robles, CA
  • NPI 1831260975
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1588112247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CLAASSEN RANCH LN",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934469650",
            "telephone_number": "805-540-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 FIRST ST STE B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463764",
            "telephone_number": "805-239-9597",
            "fax_number": "805-239-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JACOB",
        "middle_name": "ALAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58618",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy M White, MA
• Bruce Wilcox
• Nicole Kafenhaus Williams, LMFT
• Heather M Withers, PT
• Alice Wong, OD
• Mai Xiong, PT
• Pablo Jose Yepez Bracamonte, MD
• Jessica Kimberly Castro Zafra
• Rebecca Jean Zemke

• Dentist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.