Roland Peter Wolferstetter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5002074 Issued in WI

Practice address

9235 W Capitol Dr
Suite 202
Milwaukee, WI 53222-1567

Phone

(414) 464-8600

Fax

(414) 464-8603

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Roland P Wolferstetter DDS LLC

  • Dentist
  • Milwaukee, WI
  • NPI 1760593008
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1073661104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221567",
            "telephone_number": "414-464-8600",
            "fax_number": "414-464-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 W CAPITOL DR",
            "address_2": "SUITE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221567",
            "telephone_number": "414-464-8600",
            "fax_number": "414-464-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFERSTETTER",
        "first_name": "ROLAND",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5002074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333-72-700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Wolf
• Patricia Wolf, MD
• Ashley Marie Wolfe, COTA/L
• Pamela Wolfe, MD
• Thomas James Wolfe, M.D.
• Amy Marie Wolff
• Jaclyn Leigh Wolff, PHARMD
• Samantha Lynn Wolff, PA-C
• Amanda Wolfgram, DNP, NNP-BC, APNP
• Dawn Wolfgram, M.D.

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, 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 Feb 26, 2013; 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.

Verify at the official NPI Registry.