Logan Rase Woods, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

132596 Issued in AK

Practice address

1551 W Parks Hwy
Wasilla, AK 99654-6933

Phone

(907) 376-9858

NPI assigned

Jul 16, 2018

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

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1104302801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 W PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W PARKS HWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546933",
            "telephone_number": "907-376-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 W Parks Hwy",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996546933",
            "country_code": "US",
            "telephone_number": "907-376-9858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "LOGAN",
        "middle_name": "RASE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "132596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Wolf, LMT
• Rosella C Wolff
• Breannea L Wolverton
• Emily K Wood, LPC
• Stephen Woodard, PHARMD
• Sandra Woods
• Tabitha Woods, FNP-C
• Carly Woodward
• Glen Woodworth
• Richard Woolley, D.C.

• Dentist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Dentist in Alaska

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