Theodore S Wohl, D.M.D., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

046387 Issued in NY

Practice address

1680 E 19TH St
Brooklyn, NY 11229-1312

Phone

(718) 336-7190

Fax

(718) 645-2024

NPI assigned

Oct 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Smilealign Orthodontics

  • Dentist
  • Brooklyn, NY
  • NPI 1053665414
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1306926464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 PROSPECT PARK SW",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181205",
            "telephone_number": "718-832-4646",
            "fax_number": "718-832-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291312",
            "telephone_number": "718-336-7190",
            "fax_number": "718-645-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHL",
        "first_name": "THEODORE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "046387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01657987",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Woelfel, MPS, CAT-LP, ATR-P
• Alyssa Mira Wohl, MD
• Daniel Wohl, MD
• Kena Deanne Wohl
• Melissa Hayley Wohl, O.D.
• Naomi A Wohlberg, OTR/L
• Sima Wohlberg
• Zachary Wohlberg, LMHC
• Chaya Rivky Wohlgemuth, M.S. CCC-SLP
• Esther Wohlgemuth, MS SP ED

• Orthodontics and Dentofacial Orthopedics Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.