Jason F Wolven, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47823 Issued in CA

Practice address

831 Harris St
Suite B
Eureka, CA 95503-4541

Phone

(707) 445-1301

Fax

(707) 445-0151

NPI assigned

Feb 14, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1013185990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 HARRIS ST",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034541",
            "telephone_number": "707-445-1301",
            "fax_number": "707-445-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 HARRIS ST",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034541",
            "telephone_number": "707-445-1301",
            "fax_number": "707-445-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVEN",
        "first_name": "JASON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• With Open Arms Center for Reproductive Choices
• With Open Arms Center for Reproductive Freedom
• With Open Arms Reproductive Health Care Services Inc
• With Opens Arms Reproductive Health Care Services
• Desirae Ann Witzke
• Richard F. Wolven, D.D.S.
• Devin Scott Kenji Wong, MD
• Christopher Wood
• Tina Lisa Wood, PUBLIC HEALTH NURSE
• Deborah C Woodard, RN

• General Practice Dentistry in Eureka, CA
• Providers in Eureka, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.