Dr. Elizabeth Wolfe, DDS Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

62256 Issued in CA

Legal business name

DR. ELIZABETH WOLFE, DDS DENTAL GROUP

Practice address

16055 Ventura Blvd
Suite 1035
Encino, CA 91436-2601

Phone

(626) 390-0798

NPI assigned

Jan 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Wolfe, DDS

Title

Owner/President

Phone

(626) 390-0798

Specialties & licenses 1

Addresses

Tax ID family

Dr Elizabeth Wolfe DDS Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Elizabeth Wolfe DDS, Inc.

  • Dentist
  • Encino, CA
  • NPI 1285498147
  NPD tax ID

Locations

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388880000000",
    "number": "1154742476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD",
            "address_2": "SUITE 1035",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD",
            "address_2": "SUITE 1035",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601",
            "telephone_number": "626-390-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELIZABETH WOLFE, DDS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "626-390-0798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Encino, CA
• Providers in Encino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2014; 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.