Ryan Walter Wood, DPM, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4990 Issued in CA

Legal business name

RYAN WALTER WOOD, DPM, INC

Practice address

74090 El Paseo
Palm Desert, CA 92260

Phone

(760) 501-8552

Fax

(760) 501-8719

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Walter Wood, D.P.M.

Title

Provider

Phone

(760) 416-4949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1801269337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79405 HIGHWAY 111 STE 9-162",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538300",
            "telephone_number": "760-416-4949",
            "fax_number": "760-416-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74090 EL PASEO",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-501-8552",
            "fax_number": "760-501-8719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Indian Canyon Dr",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "92262",
            "country_code": "US",
            "telephone_number": "760-416-4949",
            "fax_number": "760-416-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RYAN WALTER WOOD, DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "760-416-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.