Alyssa Wolff, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10721 Issued in NC

Practice address

7476 Waterside Loop Rd Ste 100
Denver, NC 28037-7680

Phone

(704) 820-9797

NPI assigned

Jun 15, 2017

Sex

Female

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

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Alyssa M Wolff DDS PLLC

  • Dental Clinic/Center
  • Gastonia, NC
  • NPI 1033877568
  NPD Authorized official
• Frank Avason III, DMD, Ms, PA

  • Dental Clinic/Center
  • Denver, NC
  • NPI 1033374269
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1205366796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 TOWNLEY RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7476 WATERSIDE LOOP RD STE 100",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377680",
            "telephone_number": "704-820-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Jones Wilson, MA, CCC-SLP
• Lauren Hahn Wilson, PA-C
• Sara Elizabeth Wilson, M.A.,ED.S.,LPC
• Trevor Wilt, DPT/OTR/L
• Bradford A Winans, MD
• Charlotte R Woolstenhulme, PA-C
• Shatoya Lanee Young, LPC, LCMHC
• Stephen Bruce Zimmer, M.D.

• General Practice Dentistry in Denver, NC
• Providers in Denver, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.

Verify at the official NPI Registry.