Individual provider Active NPI

Anya Wolfe Gorgulu, DDS

  • Dentist
  • Springfield, VT
National Provider Identifier
1023547718
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016.0133910 Issued in VT
Practice address
109 Summer St Ste 4
Springfield, VT 05156-3538
Phone
(802) 885-2205
NPI assigned
Jun 7, 2017
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
1857890MAMDDentist
016.0133910VTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Dental PLLC CurrentSince Aug 14, 2022 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.

Verify at the official NPI Registry.