Jake A Wood

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

7571345 Issued in ID

Practice address

37 W Archerfield St Ste 100
Meridian, ID 83646-6587

Phone

(801) 369-8569

NPI assigned

Mar 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1073260311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 S HAKKASAN AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837168803",
            "telephone_number": "801-369-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W ARCHERFIELD ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466587",
            "telephone_number": "801-369-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JAKE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "ID",
            "license": "7571345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Wolfe, PT
• Ashley Wolfe, LPC
• Woman'S Clinic
• Womens Wellness Clinic
• Jaden Wood, PHARMD
• James Faron Wood, RPH
• Tysen Wood, DMD
• Callen Woodall, D.O.
• Justin Michael Woodlief, M.D.
• Jenna Lynn Woods, RBT

• Dental Anesthesiology in Meridian, ID
• Providers in Meridian, ID by specialty
• Dental Anesthesiology in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.