Daniel Wood, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4427 Issued in ID

Practice address

1411 Fillmore St Ste 602
Twin Falls, ID 83301-3343

Phone

(208) 733-0494

Fax

(208) 733-2713

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Glenns Ferry Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Grand View, ID
  • NPI 1972633949
  NPD (past)
• Tracy C. Savage, DDS, PC

  • General Practice Dentistry
  • Twin Falls, ID
  • NPI 1023264108
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1972534741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "GLENNS FERRY",
            "state": "ID",
            "postal_code": "836230266",
            "telephone_number": "208-587-3988",
            "fax_number": "208-587-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FILLMORE ST STE 602",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013343",
            "telephone_number": "208-733-0494",
            "fax_number": "208-733-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 American Legion Blvd",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "ID",
            "postal_code": "836473142",
            "country_code": "US",
            "telephone_number": "208-587-3988",
            "fax_number": "208-587-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-02-07",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Thane Winward, PA-C
• Spencer Wolverton, DPT
• Kyle Wong, DO
• Kenton Woo
• Wood River Acupuncture
• James R Wood, DPT
• Scott F Woodhead, S.C.S.W.
• Alexis Woodie, OTD, OTR/L
• Rita Marie Woodman, ARNP, DNP
• Kimberly Jean Woodmansee-Dopson, LCPC, MAC

• General Practice Dentistry in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.