Active NPI
Philip H Wolff DDS
- General Practice Dentistry
- Marina, CA
National Provider Identifier
1275237224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PHILIP H WOLFF DDS
- Practice address
- 3154 De Forest Rd Ste a
Marina, CA 93933-2771 - Phone
- (831) 384-2442
- NPI assigned
- Mar 27, 2023
- Last updated
- May 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Wolff, DDS
- Title
- Owner / Dentist
- Phone
- (831) 384-2442
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3154 De Forest Rd Ste a
Marina, CA 93933-2771
Mailing address
3154 De Forest Rd Ste a
Marina, CA 93933-2771
Phone (831) 384-2442
National Provider Directory
National Provider DirectoryLocations
3154 De Forest Rd
Ste A
Marina, CA 93933
Phone (831) 384-2442
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.
-
- General Practice Dentistry
- Marina, CA
- NPI 1437256351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1275237224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3154 DE FOREST RD STE A",
"city": "MARINA",
"state": "CA",
"postal_code": "939332771",
"telephone_number": "831-384-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3154 DE FOREST RD STE A",
"city": "MARINA",
"state": "CA",
"postal_code": "939332771",
"telephone_number": "831-384-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP H WOLFF DDS",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-27",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "WOLFF",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "OWNER / DENTIST",
"authorized_official_telephone_number": "831-384-2442",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.