Michael Barry Wolf, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D10364 Issued in MN

Practice address

2611 Innsbruck Dr
Suite a
New Brighton, MN 55112-6376

Phone

(769) 571-4837

Fax

(763) 571-0074

NPI assigned

Dec 1, 2015

Sex

Male

Sole proprietor

Yes

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

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.

• Salma Helal, D.D.S., PLLC

  • General Practice Dentistry
  • New Brighton, MN
  • NPI 1831963487
  NPD (past)

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1255706347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 INNSBRUCK DR",
            "address_2": "SUITE A",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126376",
            "telephone_number": "769-571-4837",
            "fax_number": "763-571-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 INNSBRUCK DR",
            "address_2": "SUITE A",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126376",
            "telephone_number": "769-571-4837",
            "fax_number": "763-571-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MICHAEL",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Home Care Inc
• Willow Home Care Inc
• Suzanne Margaret Wimer, MS, RN, CNS
• Nicole Lynne Winkelman
• Lisa Deanne Wold, LPCC
• Nicholas P Woodruff-Sims
• Paul J Wozny, D.C.
• Owegio Wreh
• Marissa L Wright
• Karen Sue Wurtzberger

• Dentist in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.