Active NPI
Charles Jackson Wooddell, RDMS
- Sonography Radiologic Technologist
- Alamogordo, NM
National Provider Identifier
1275577637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 106930
- Practice address
- 2474 Indian Wells Rd.
Alamogordo, NM 88310-3927 - Phone
- (505) 921-3827
- Fax
- (505) 434-5624
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 106930 | NM | Primary |
Addresses
Primary practice location
2474 Indian Wells Rd.
Alamogordo, NM 88310-3927
Mailing address
1518 Scenic Dr
Alamogordo, NM 88310-3927
Phone (505) 921-3827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106930 | NM | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275577637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 SCENIC DR",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883103927",
"telephone_number": "505-921-3827",
"fax_number": "505-434-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2474 INDIAN WELLS RD.",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883103927",
"telephone_number": "505-921-3827",
"fax_number": "505-434-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODDELL",
"first_name": "CHARLES",
"middle_name": "JACKSON",
"name_prefix": "Mr.",
"credential": "RDMS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NM",
"license": "106930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.