Individual provider Active NPI

Woodlyn Joachim, DMD

  • Dentist
  • Providence, RI
National Provider Identifier
1376399899
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN03724 Issued in RI
Practice address
335R Prairie Ave
Providence, RI 02905-2426
Phone
(401) 444-0430
Fax
(401) 444-0489
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN03724 RI Primary
General Practice Dentistry 1223G0001X DEN5149 ME

Addresses

Primary practice location

335R Prairie Ave
Providence, RI 02905-2426

Mailing address

375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400

Other practice location 1

50 Summer St
Millinocket, ME 04462-1400
Phone (207) 538-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20260506003559 ME Practitioner - Dentist 3476021544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Univ of New England, College of Dental Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Maverick St
Rockland, ME 04841-3402

529 S Patten Rd
Patten, ME 04765-3007

9 Berkley St
Fitchburg, MA 01420-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN03724RIMDDentist
DEN5149MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center PastSince Apr 1, 2024 Accepting new patients
Thundermist Health Center PastSince Apr 1, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1376399899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335R PRAIRIE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052426",
            "telephone_number": "401-444-0430",
            "fax_number": "401-444-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Summer St",
            "address_purpose": "LOCATION",
            "city": "Millinocket",
            "state": "ME",
            "postal_code": "044621400",
            "country_code": "US",
            "telephone_number": "207-538-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "WOODLYN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03724",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN5149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.