Individual provider Active NPI

Dallas M Woolf, DDS

  • Dentist
  • Mesa, AZ
National Provider Identifier
1851501753
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6165 Issued in AZ
Practice address
342 N Val Vista Dr
#104
Mesa, AZ 85213-8609
Phone
(480) 734-2080
NPI assigned
May 22, 2007
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6165 AZ Primary

Addresses

Primary practice location

342 N Val Vista Dr
#104
Mesa, AZ 85213-8609

Mailing address

342 N Val Vista Dr Ste 104
Mesa, AZ 85213-8609
Phone (480) 734-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160401001969 AZ Order and Referring Only - DentistPractitioner - Dentist 7810294071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6165AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Woolf Dental Current Accepting new patients

Locations

342 N Val Vista Dr
Ste 104
Mesa, AZ 85213
Phone (480) 734-2080

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1851501753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N VAL VISTA DR STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138609",
            "telephone_number": "480-734-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N VAL VISTA DR",
            "address_2": "#104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138609",
            "telephone_number": "480-734-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLF",
        "first_name": "DALLAS",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.