Active NPI
Peter S Wohlgemuth, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Boca Raton, FL
National Provider Identifier
1083982060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10202
- Practice address
- 8903 Glades Rd
Suite D6
Boca Raton, FL 33434-4074 - Phone
- (561) 483-0072
- NPI assigned
- Dec 6, 2011
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10202 | FL | Primary |
Addresses
Primary practice location
8903 Glades Rd
Suite D6
Boca Raton, FL 33434-4074
Mailing address
8903 Glades Rd
Suite D6
Boca Raton, FL 33434-4074
Phone (561) 483-0072
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 |
|---|---|---|---|
| 10202 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1083982060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8903 GLADES RD",
"address_2": "SUITE D6",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344074",
"telephone_number": "561-483-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8903 GLADES RD",
"address_2": "SUITE D6",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344074",
"telephone_number": "561-483-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHLGEMUTH",
"first_name": "PETER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "10202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.