Individual provider Active NPI

David J. Wolfe

  • Endodontics
  • San Bernardino, CA
National Provider Identifier
1114947108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
28262 Issued in CA
Practice address
1881 Business Center Dr
Suite 7a
San Bernardino, CA 92408-3465
Phone
(909) 383-8931
Fax
(909) 383-0516
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 28262 CA Primary

Addresses

Primary practice location

1881 Business Center Dr
Suite 7a
San Bernardino, CA 92408-3465

Mailing address

1881 Business Center Dr
Suite 7a
San Bernardino, CA 92408-3465
Phone (909) 383-8931

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
28262CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David J Wolfe DDS Past Accepting new patients
Debra a. Meadows, DDS Inc Endodontics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114947108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 BUSINESS CENTER DR",
            "address_2": "SUITE 7A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083465",
            "telephone_number": "909-383-8931",
            "fax_number": "909-383-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 BUSINESS CENTER DR",
            "address_2": "SUITE 7A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083465",
            "telephone_number": "909-383-8931",
            "fax_number": "909-383-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "28262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.