Active NPI
Jacob Woods, DDS
- Dentist
- Dimmitt, TX
National Provider Identifier
1538720446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35299
- Practice address
- 304 W Bedford St
Dimmitt, TX 79027-2508 - Phone
- (806) 681-4135
- NPI assigned
- Jun 23, 2019
- Last updated
- Dec 29, 2023
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35299 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimmitt Dental | Current | Accepting new patients | |
| Whiteface Dental PLLC | Current | Accepting new patients | |
| Yellow City Smiles PLLC | Current | 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.
-
- Dental Clinic/Center
- Dimmitt, TX
- NPI 1649918111
-
- Dental Clinic/Center
- Hereford, TX
- NPI 1689568123
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.