Organization Active NPI

Wolfe Dental Cedar Mill

  • Dental Clinic/Center
  • Portland, OR
National Provider Identifier
1114796547
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WOLFE DENTAL CEDAR MILL
Practice address
11786 NW Cedar Falls Dr Ste 200
Portland, OR 97229-2787
Phone
(503) 751-2735
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Benjamin Jeffery Wolfe, DMDNPI 1952309619
Title
President
Phone
(503) 730-5632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11786 NW Cedar Falls Dr Ste 200
Portland, OR 97229-2787

Mailing address

11786 NW Cedar Falls Dr Ste 200
Portland, OR 97229-2787
Phone (503) 751-2753

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1114796547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 NW CEDAR FALLS DR STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292787",
            "telephone_number": "503-751-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 NW CEDAR FALLS DR STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292787",
            "telephone_number": "503-751-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE DENTAL CEDAR MILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-730-5632",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.