P Praxis·MD
● Active Type 1 · Individual

Jake A Wood

Dentist·Meridian, ID· NPI 1073260311 · Enumerated 2022 · 4 years on NPI
Wood is 1 of 2 dentist providers in Meridian and 1 of 7 in Idaho.
NPI age
4 years
Enumerated 2022-03-07
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7 active dentist providers in Idaho.

NPI age
4 years
≈ at median (5 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 57% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Practice location
37 W Archerfield St Ste 100
Meridian, ID 836466587
📞 8013698569
Mailing address
5760 S Hakkasan Ave
Boise, ID 837168803
📞 8013698569

Specialties

  • Dentist Primary
    A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental...
    ID license #7571345 taxonomy 1223D0004X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 7 Dentist providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related