Organization Active NPI

Duane E. Wolff, D.D.S., P.C.

  • Dental Clinic/Center
  • Homewood, IL
National Provider Identifier
1205942299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DUANE E. WOLFF, D.D.S., P.C.
Practice address
18161 Morris Ave
Suite 107
Homewood, IL 60430-2108
Phone
(708) 799-7722
Fax
(708) 799-7748
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Duane Eugene Wolff, D.D.S.NPI 1659463438
Title
President/ Dentist
Phone
(708) 799-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

18161 Morris Ave
Suite 107
Homewood, IL 60430-2108

Mailing address

18161 Morris Ave
Suite 107
Homewood, IL 60430-2108
Phone (708) 799-7722

National Provider Directory

National Provider Directory

Locations

18161 Morris Ave
Ste 107
Homewood, IL 60430
Phone (708) 799-7722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205942299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 MORRIS AVE",
            "address_2": "SUITE 107",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302108",
            "telephone_number": "708-799-7722",
            "fax_number": "708-799-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 MORRIS AVE",
            "address_2": "SUITE 107",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302108",
            "telephone_number": "708-799-7722",
            "fax_number": "708-799-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE E. WOLFF, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "708-799-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.