Organization Active NPI

Carolynn F Wolff DMD PC

  • Dentist
  • Chesterfield, MO
National Provider Identifier
1124209069
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14291 Issued in MO
Legal business name
CAROLYNN F WOLFF DMD PC
Practice address
16216 Baxter Rd
Ste 215
Chesterfield, MO 63017
Phone
(636) 537-3600
Fax
(636) 537-0066
NPI assigned
Nov 20, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Carolynn F WolffNPI 1780745125
Title
Dentist Owner
Phone
(636) 537-3600

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
Dentist 122300000X 14291 MO Primary

Addresses

Primary practice location

16216 Baxter Rd
Ste 215
Chesterfield, MO 63017

Mailing address

16216 Baxter Rd
Ste 215
Chesterfield, MO 63017
Phone (636) 537-3600

National Provider Directory

National Provider Directory

Locations

16216 Baxter Rd
Ste 215
Chesterfield, MO 63017
Phone (636) 532-3525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1124209069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "STE 215",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "636-537-3600",
            "fax_number": "636-537-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "STE 215",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "636-537-3600",
            "fax_number": "636-537-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYNN F WOLFF DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "CAROLYNN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "636-537-3600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "14291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.