Susan Larae Wood, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D009067 Issued in AZ

Practice address

10555 N Tatum Blvd Ste A102
Paradise Valley, AZ 85253-1096

Phone

(807) 912-7334

Fax

(480) 701-8400

NPI assigned

Apr 4, 2007

Last updated

May 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• Susan Wood Endodontics, PLLC

  • Dental Clinic/Center
  • Paradise Valley, AZ
  • NPI 1457722787
  NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1942322755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD STE A102",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531096",
            "telephone_number": "480-438-4334",
            "fax_number": "505-819-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD STE A102",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531096",
            "telephone_number": "807-912-7334",
            "fax_number": "480-701-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SUSAN",
        "middle_name": "LARAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-05-16",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D009067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drwood@phoenixendodontist.com",
            "affiliation": "N",
            "address_1": "10555 N Tatum Blvd Ste A102",
            "city": "Paradise Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852531096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie A Welk, M.D.
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• West Coast Cardiology
• Henry Richard Wienke, M.D.
• Jack M Wolfson, D.O.
• Pagona Xenos, L.M.T.
• Yousif Abdullah Yonan, M.D.
• Vitaliy Zhivotenko, D.O.

• Endodontics in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.