Active NPI
Adam Lees Wohl, DDS
- Dentist
- Oak Ridge, TN
National Provider Identifier
1053762336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10256
- Practice address
- 680 Briarcliff Ave
Oak Ridge, TN 37830 - Phone
- (865) 483-2356
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10256 | TN | Primary |
Addresses
Primary practice location
680 Briarcliff Ave
Oak Ridge, TN 37830
Mailing address
680 Briarcliff Ave
Oak Ridge, TN 37830-6938
Phone (865) 483-2356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161118000725 | TN | Order and Referring Only - Oral Surgery | 6507145380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1053762336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 BRIARCLIFF AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306938",
"telephone_number": "865-483-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 BRIARCLIFF AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-483-2356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHL",
"first_name": "ADAM",
"middle_name": "LEES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2023-02-23",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.