Active NPI
Jennifer Purefoy Wood, DMD
- Dentist
- Mitchells, VA
National Provider Identifier
1275034282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401007344
- Practice address
- 12352 Coffeewood Dr
Mitchells, VA 22729-2046 - Phone
- (540) 317-4303
- NPI assigned
- Feb 25, 2018
- Last updated
- Feb 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401007344 | VA | Primary |
Addresses
Primary practice location
12352 Coffeewood Dr
Mitchells, VA 22729-2046
Mailing address
12352 Coffeewood Dr
Mitchells, VA 22729-2046
Phone (540) 317-4303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007344 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519516800000",
"number": "1275034282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12352 COFFEEWOOD DR",
"city": "MITCHELLS",
"state": "VA",
"postal_code": "227292046",
"telephone_number": "540-317-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12352 COFFEEWOOD DR",
"city": "MITCHELLS",
"state": "VA",
"postal_code": "227292046",
"telephone_number": "540-317-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JENNIFER",
"middle_name": "PUREFOY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-25",
"last_updated": "2018-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401007344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; 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.