Active NPI
Anya Wolfe Gorgulu, DDS
- Dentist
- Springfield, VT
National Provider Identifier
1023547718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 016.0133910
- Practice address
- 109 Summer St Ste 4
Springfield, VT 05156-3538 - Phone
- (802) 885-2205
- NPI assigned
- Jun 7, 2017
- Last updated
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1857890 | MA | |
| Dentist | 122300000X | 016.0133910 | VT | Primary |
Addresses
Primary practice location
109 Summer St Ste 4
Springfield, VT 05156-3538
Mailing address
109 Summer St Ste 4
Springfield, VT 05156-3538
Other names 1
- Dr. Anya K Wolfe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857890 | MA | MD | Dentist |
| 016.0133910 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolfe Dental PLLC | Current | Accepting new patients |
Locations
109 Summer St
Ste 4
Springfield, VT 05156
Phone (802) 885-2205
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1023547718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SUMMER ST STE 4",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 SUMMER ST STE 4",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563538",
"telephone_number": "802-885-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORGULU",
"first_name": "ANYA",
"middle_name": "WOLFE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "1857890",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0133910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANYA",
"last_name": "WOLFE",
"middle_name": "K",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.