Organization Active NPI

Kristina M. Wolf, DMD, PC

  • General Practice Dentistry
  • Johnstown, PA
National Provider Identifier
1144675273
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040686 Issued in PA
Legal business name
KRISTINA M. WOLF, DMD, PC
Practice address
100 Hostetler Rd
Johnstown, PA 15904-3111
Phone
(814) 266-9773
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Kristina M Wolf, DMD
Title
Owner
Phone
(440) 223-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS040686 PA Primary

Addresses

Primary practice location

100 Hostetler Rd
Johnstown, PA 15904-3111

Mailing address

100 Hostetler Rd
Johnstown, PA 15904-3111
Phone (814) 266-9773

National Provider Directory

National Provider Directory

Locations

100 Hostetler Rd
Johnstown, PA 15904
Phone (814) 240-3432

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1144675273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSTETLER RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043111",
            "telephone_number": "814-266-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSTETLER RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043111",
            "telephone_number": "814-266-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA M. WOLF, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-223-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.