Gregory Alan Wood, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12226 Issued in FL

Practice address

6111 N Davis Hwy
Building B
Pensacola, FL 32504-6949

Phone

(850) 476-8418

Fax

(850) 474-0057

NPI assigned

Nov 7, 2006

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Florida Periodontal Associates, P. a.

  • Periodontics
  • Pensacola, FL
  • NPI 1710781638
  NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902975592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 N DAVIS HWY",
            "address_2": "BUILDING B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046949",
            "telephone_number": "850-476-8418",
            "fax_number": "850-474-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 N DAVIS HWY",
            "address_2": "BUILDING B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046949",
            "telephone_number": "850-476-8418",
            "fax_number": "850-474-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "12226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cecillia Womack
• Naomi Brooke Womack, RCSWI
• Women With Clear Vision Inc.
• Womens Health P a (The Women's Group)
• Diane Marie Wood, ATC, PTA
• Kristi Wood, CRNA
• Martha Lee Wood, OTR
• Rita B Wood, LMHC
• David Albert Woodard, M.D.
• Donna Marie Woodard, M.S.

• Periodontics in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Periodontics in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.