Active NPI
Dennis J Woods, CRNA
- Certified Registered Nurse Anesthetist
- Farmington, NM
National Provider Identifier
1487627311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R42887
- Practice address
- 801 W Maple St
Farmington, NM 87401-5630 - Phone
- (505) 609-6161
- Fax
- (505) 330-3865
- NPI assigned
- Feb 10, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R42887 | NM | Primary |
Addresses
Primary practice location
801 W Maple St
Farmington, NM 87401-5630
Mailing address
PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430044194 | Other | NM | RR MEDICARE |
| 447103 | Medicaid | AZ | |
| 97428874 | Medicaid | CO | |
| T0128 | Medicaid | UT | |
| 10002374 | Other | NM | LOVELACE HP |
| 201018788 | Other | NM | PRESBYTERIAN HP |
| NM006487 | Other | NM | BCBS |
| T4939 | Medicaid | NM |
Other names 1
- Mr. Dennis James Woods
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R42887 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Past | Accepting new patients | |
| Four Corners Anesthesia, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1093758831
Nurse Anesthetist, Certified Registered
-
dba San Juan Pediatrics
- Pediatrics Physician
- Farmington, NM
- NPI 1093800534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1487627311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6210",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874996210",
"telephone_number": "505-609-2258",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W MAPLE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015630",
"telephone_number": "505-609-6161",
"fax_number": "505-330-3865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DENNIS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R42887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "430044194",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "447103",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "97428874",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T0128",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HP",
"identifier": "10002374",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HP",
"identifier": "201018788",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM006487",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T4939",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENNIS",
"last_name": "WOODS",
"middle_name": "JAMES",
"prefix": "MR.",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.