Terrance Michael Wolbaum, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

10189 Issued in CO

Practice address

5492 S Parker Rd
Aurora, CO 80015-1136

Phone

(303) 766-8811

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1295961514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5492 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151136",
            "telephone_number": "303-766-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLBAUM",
        "first_name": "TERRANCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83630279",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Wohlgemuth, DDS
• Jessika Jacobs Wohlgemuth, RN
• Pierre Louis Auguste Wohlgemuth, D.D.S
• Jordan Wolak, ATC, PT, DPT
• Mary C Wolbach, R.N.
• Catherine Wolcott, PHD
• Michelle Wolcott, MD
• Nahome Wolde
• Amanuel Woldegeorgis
• Medhane Woldemariam Beyene

• Dentist in Aurora, CO
• Providers in Aurora, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.