Active NPI
Robert A. Wood, D.D.S.
- Dentist
- Dunkirk, MD
National Provider Identifier
1619985967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12231
- Practice address
- 10420 Southern Maryland Blvd
Dunkirk, MD 20754-2709 - Phone
- (301) 855-8200
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12231 | MD | Primary |
Addresses
Primary practice location
10420 Southern Maryland Blvd
Dunkirk, MD 20754-2709
Mailing address
512 Sixth St
Annapolis, MD 21403-3235
Phone (410) 507-0873
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 |
|---|---|---|---|
| 12231 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619985967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 SIXTH ST",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214033235",
"telephone_number": "410-507-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 SOUTHERN MARYLAND BLVD",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207542709",
"telephone_number": "301-855-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ROBERT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "12231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.