Active NPI
Linda G. Wolf, D.D.S.
- General Practice Dentistry
- Liberal, KS
National Provider Identifier
1235271628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6219
- Practice address
- 2130 N Kansas Ave
Liberal, KS 67901-2012 - Phone
- (620) 624-5321
- Fax
- (620) 624-2285
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6219 | KS | Primary |
Addresses
Primary practice location
2130 N Kansas Ave
Liberal, KS 67901-2012
Mailing address
2130 N Kansas Ave
Liberal, KS 67901-2012
Phone (620) 624-5321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6219 | KS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235271628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 N KANSAS AVE",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012012",
"telephone_number": "620-624-5321",
"fax_number": "620-624-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 N KANSAS AVE",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012012",
"telephone_number": "620-624-5321",
"fax_number": "620-624-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "LINDA",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberal, KS
- Walmart Inc. (Walmart Pharmacy 10-0799)
- Waterside Case Management
- James Mitchell Wiley, DO
- Williams Medical Group Practice, LLC (Integrity Urgent Care)
- Bereket T Woldemariam, PA-C
- Womens Specialists of Liberal (Women's Specialists of Liberal, P.A.)
- Marcine M. Woods, LCMFT
- Jungmo Yang
- Kim A Yount, D.D.S.
- Assadollah Zainali, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.