Organization Active NPI

John G. Wood, DDS

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1780139485
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3219 Issued in AZ
Legal business name
JOHN G. WOOD, DDS
Practice address
20100 N 51St Ave
Suite E-550
Glendale, AZ 85308-5125
Phone
(623) 561-2400
Fax
(623) 561-2425
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Kris Pommerening
Title
Office Manager
Phone
(623) 561-2400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 9516 AZ
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3219 AZ Primary

Addresses

Primary practice location

20100 N 51St Ave
Suite E-550
Glendale, AZ 85308-5125

Mailing address

20100 N 51St Ave
Suite E-550
Glendale, AZ 85308-5125
Phone (623) 561-2400

National Provider Directory

National Provider Directory

Locations

20100 N 51st Ave
Ste E550
Glendale, AZ 85308
Phone (623) 561-2400

Practitioners & affiliated clinicians

Practitioners 3

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1780139485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE",
            "address_2": "SUITE E-550",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085125",
            "telephone_number": "623-561-2400",
            "fax_number": "623-561-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE",
            "address_2": "SUITE E-550",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085125",
            "telephone_number": "623-561-2400",
            "fax_number": "623-561-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. WOOD, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "POMMERENING",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-561-2400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9516",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.