Patrick Lee Wolfe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4584-015 Issued in WI

Practice address

900 Crestview Dr
Suite 240
Hudson, WI 54016-9516

Phone

(715) 381-5556

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grandview Dental S.C.

  • General Practice Dentistry
  • Hudson, WI
  • NPI 1639202013
  NPD (past) Authorized official
• Christopher Buege DDS Dba Grandview Dental

  dba Grandview Dental

  • Dental Clinic/Center
  • Hudson, WI
  • NPI 1992464770
  NPD (past)

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1023266483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CRESTVIEW DR",
            "address_2": "SUITE 240",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169516",
            "telephone_number": "715-381-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CRESTVIEW DR",
            "address_2": "SUITE 240",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169516",
            "telephone_number": "715-381-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "PATRICK",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4584-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33723000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Lee Willard, RD, LD
• Caroline Kay Williamson, OTR L
• Michael John Winters, DO
• Wisconsin CVS Pharmacy LLC (CVS Pharmacy #16589)
• Jennifer E Witt, MD
• Meghan Wolner
• Deirdre Ann Worrell, MS
• Megan Wrenn
• Mai Chong Yang, LAC.
• Xeing Randy Yang

• General Practice Dentistry in Hudson, WI
• Providers in Hudson, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.