WOODLYN JOACHIM DMD
NPI 1376399899
Dentist in Providence, RI

Q: What is Woodlyn Joachim's NPI number?

The NPI number for Woodlyn Joachim is 1376399899. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Q: What is Woodlyn Joachim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Woodlyn Joachim was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2024PECOS Enrolled

335R PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0430(401) 444-0489 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2026, Feb 3, 2025, Aug 2, 2024 and 3 more (6 updates tracked since 2024).

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About Woodlyn Joachim Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODLYN JOACHIM DMD (NPI 1376399899) is an individual dentist in Providence, Rhode Island, licensed in Rhode Island (DEN03724) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Millinocket, and is a graduate of Univ Of New England, College Of Dental Medicine (2024).

NPPES Registry Identity

NPI1376399899

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameWOODLYN JOACHIMCredential: DMD

Location Address335R PRAIRIE AVEProvidence, RI 02905-2426

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400

Phone(401) 444-0430

Fax(401) 444-0489

Sole ProprietorNo

Medical School CMSUniv Of New England, College Of Dental MedicineGraduated 2024

Enumeration DateApril 25, 2024

Last NPPES UpdateApril 13, 20266 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1376399899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in RI · DEN03724

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DEN5149 (ME)

335R PRAIRIE AVE, Providence, RI 02905

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Secondary Practice Location 1

Location 150 Summer StMillinocket, ME 04462-1400 · Phone (207) 538-3700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Best Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodlyn Joachim Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476021544

PECOS Enrollment IDI20260506003559

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Woodlyn Joachim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sebasticook Family Doctors

235 mi

Federally Qualified Health Center (FQHC)

55 FLETCHER DR
Palmyra, ME 04965

Reassigned Medicare billing, Maine enrollment
16 clinicians in this Medicare group

NPI 1114774254 (207) 368-5189

Katahdin Valley Health Center

258 mi

Federally Qualified Health Center (FQHC)

48 E MAIN ST
Dover Foxcroft, ME 04426

Reassigned Medicare billing, Maine enrollment
81 clinicians in this Medicare group

NPI 1053063107 (207) 528-2285

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIRAHADEEP SINGH

Dentist (General Practice)