IndividualActive
Jake Wood
NPI 1073260311 · Dental Anesthesiology · Meridian, ID
Provider details
- NPI number
- 1073260311
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
37 W Archerfield St Ste 100
Meridian, ID 83646-6587
Phone: (801) 369-8569
Street-level locationGet directions
Mailing address
5760 S Hakkasan Ave
Boise, ID 83716-8803
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.