Organization Active NPI

Lawrence Wolff DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Encino, CA
National Provider Identifier
1336280684
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
32235 Issued in CA
Legal business name
LAWRENCE WOLFF DDS
Practice address
16550 Ventura Blvd
Ste. 209
Encino, CA 91436-2004
Phone
(818) 986-2994
Fax
(818) 986-2559
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Lawrence Alan Wolff, DDSNPI 1740335256
Title
Owner
Phone
(818) 986-2994

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 32235 CA Primary

Addresses

Primary practice location

16550 Ventura Blvd
Ste. 209
Encino, CA 91436-2004

Mailing address

PO Box 1429
Burbank, CA 91507-1429
Phone (818) 986-2994

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1336280684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915071429",
            "telephone_number": "818-986-2994",
            "fax_number": "818-986-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD",
            "address_2": "STE. 209",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362004",
            "telephone_number": "818-986-2994",
            "fax_number": "818-986-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE WOLFF DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-986-2994",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "32235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.