Roger Enoch Wood, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401004954 Issued in VA

Practice address

11601 Robious Road
Suite 130
Midlothian, VA 23113

Phone

(804) 794-3498

Fax

(804) 794-8344

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770637563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS ROAD",
            "address_2": "SUITE 130",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-794-3498",
            "fax_number": "804-794-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS ROAD",
            "address_2": "SUITE 130",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-794-3498",
            "fax_number": "804-794-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ROGER",
        "middle_name": "ENOCH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401004954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women's Health First, PLLC
• Brandon CHI-Lon Wong, DMD
• Tik Wong, OD
• Jessica Wood, FNP-BC
• Monette W Wood, M.D.
• Lynn E Woodcock, NP
• Woodlake Dental Center
• Woodlake Family Dentistry
• Woodlake Village Pediatrics LLC
• Courtney Elizabeth Woods, MD, PHD

• Pediatric Dentistry in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Pediatric Dentistry in Virginia

• 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.

Verify at the official NPI Registry.