Glenn J Wolfinger, D.M.D.,F.A.C.P.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

027319 Issued in PA

Practice address

467 Pennsylvania Ave
Suie 201
Fort Washington, PA 19034-3420

Phone

(215) 646-6334

Fax

(215) 643-1149

NPI assigned

Dec 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 22, 2015 through Oct 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prosthodontics Intermedica

  • Prosthodontics
  • Fort Washington, PA
  • NPI 1285634816
  NPD (past)

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1194094789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 PENNSYLVANIA AVE",
            "address_2": "SUIE 201",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343420",
            "telephone_number": "215-646-6334",
            "fax_number": "215-643-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 PENNSYLVANIA AVE",
            "address_2": "SUIE 201",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343420",
            "telephone_number": "215-646-6334",
            "fax_number": "215-643-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFINGER",
        "first_name": "GLENN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,F.A.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "027319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Williams
• Kayla Wilson, PT
• Justin Seth Winas, D.O.
• Marjorie Winton, COTA
• Carol Wolf Wittman, PHD
• Stefanie Nicole Wood
• Wordsworth
• Wordsworth Academy
• Work Injury RX One LLC
• Devin J Yastro

• Prosthodontics in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Prosthodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.