Active NPI
John G. Wood, DDS
- General Practice Dentistry
- Glendale, AZ
National Provider Identifier
1780139485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3219
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9516 | AZ | |
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Glendale, AZ
- NPI 1801455068
-
- General Practice Dentistry
- Glendale, AZ
- NPI 1669515292
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.