Organization Active NPI

Stephen F. Wood, D.D.S., PA

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1669695821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12524 Issued in TX
Legal business name
STEPHEN F. WOOD, D.D.S., PA
Practice address
4402 Vance Jackson Rd
Suite 235
San Antonio, TX 78230-5336
Phone
(210) 558-3133
Fax
(210) 308-9062
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Corinne R Pierce
Title
Office Manager
Phone
(210) 558-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12524 TX Primary

Addresses

Primary practice location

4402 Vance Jackson Rd
Suite 235
San Antonio, TX 78230-5336

Mailing address

4402 Vance Jackson Rd
Suite 235
San Antonio, TX 78230-5336
Phone (210) 558-3133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669695821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 VANCE JACKSON RD",
            "address_2": "SUITE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305336",
            "telephone_number": "210-558-3133",
            "fax_number": "210-308-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 VANCE JACKSON RD",
            "address_2": "SUITE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305336",
            "telephone_number": "210-558-3133",
            "fax_number": "210-308-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F. WOOD, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-558-3133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.