Active NPI
John W Wolf, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1326250697
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jun 18, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 038642
- Practice address
- 212 West 15TH Street
1St Floor
New York, NY 10011 - Phone
- (212) 366-5900
- Fax
- (212) 366-6028
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 038642 | NY | Primary |
Addresses
Primary practice location
212 West 15TH Street
1St Floor
New York, NY 10011
Mailing address
212 West 15TH Street
1St Floor
New York, NY 10011
Phone (212) 366-5900
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. John W. Wolf DDS, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Point of Service
- New York, NY
- NPI 1992826713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326250697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 WEST 15TH STREET",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-366-5900",
"fax_number": "212-366-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 WEST 15TH STREET",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "212-366-5900",
"fax_number": "212-366-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "038642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.