Active NPI
Woodlyn Joachim, DMD
- Dentist
- Providence, RI
National Provider Identifier
1376399899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN03724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03724 | RI | MD | Dentist |
| DEN5149 | ME | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thundermist Health Center | Past | Accepting new patients | |
| Thundermist Health Center | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Houlton, ME
- NPI 1376618546
ME
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
-
- Dental Clinic/Center
- Woonsocket, RI
- NPI 1457522989
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.