Individual provider Active NPI

Jacob Woods, DDS

  • Dentist
  • Dimmitt, TX
National Provider Identifier
1538720446
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35299 Issued in TX
Practice address
304 W Bedford St
Dimmitt, TX 79027-2508
Phone
(806) 681-4135
NPI assigned
Jun 23, 2019
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35299 TX Primary

Addresses

Primary practice location

304 W Bedford St
Dimmitt, TX 79027-2508

Mailing address

304 W Bedford St
Dimmitt, TX 79027-2508
Phone (806) 681-4135

Other practice location 1

7200 SW 45th Ave Unit 5
Amarillo, TX 79109-5084
Phone (806) 677-0202

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

LicenseStateTypeSpecialty
35299TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dimmitt Dental CurrentSince Dec 31, 2023 Accepting new patients
Whiteface Dental PLLC Current Accepting new patients
Yellow City Smiles PLLC CurrentSince May 29, 2022 Accepting new patients

Locations

7200 SW 45th Ave
Unit 5
Amarillo, TX 79109
Phone (806) 677-0202

304 W Bedford St
Dimmitt, TX 79027
Phone (806) 647-2188

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1538720446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W BEDFORD ST",
            "city": "DIMMITT",
            "state": "TX",
            "postal_code": "790272508",
            "telephone_number": "806-681-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W BEDFORD ST",
            "city": "DIMMITT",
            "state": "TX",
            "postal_code": "790272508",
            "telephone_number": "806-681-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 SW 45th Ave Unit 5",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791095084",
            "country_code": "US",
            "telephone_number": "806-677-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-23",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dimmitt, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.