Active NPI
Ryan Michael Wolff, DDS
- Dentist
- Pittsburgh, PA
National Provider Identifier
1124430855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039963
- Practice address
- 369 Butler Street
Pittsburgh, PA 15223 - Phone
- (412) 784-0228
- Fax
- (412) 784-0458
- NPI assigned
- May 29, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS039963 | PA | Primary |
Addresses
Primary practice location
369 Butler Street
Pittsburgh, PA 15223
Mailing address
369 Butler St
Pittsburgh, PA 15223-2124
Phone (412) 784-0228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150424000673 | PA | Order and Referring Only - Dentist | 9234458241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039963 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1124430855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 BUTLER ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152232124",
"telephone_number": "412-784-0228",
"fax_number": "412-784-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 BUTLER STREET",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15223",
"telephone_number": "412-784-0228",
"fax_number": "412-784-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.