Charles Wohlwend, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

H-D-1-00143 Issued in CO

Practice address

902 W 29TH St
Pueblo, CO 81008-1159

Phone

(719) 542-5300

Fax

(719) 545-5525

NPI assigned

Nov 8, 2005

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Charles Wohlwend Ddspc

  • Dentist
  • Walsenburg, CO
  • NPI 1578198552
  NPD (past) Authorized official
• Eagleridge Dental

  • Dentist
  • Walsenburg, CO
  • NPI 1487288106
  NPD (past) Authorized official

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366423279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W 29TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081159",
            "telephone_number": "719-542-5300",
            "fax_number": "719-545-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W 29TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081159",
            "telephone_number": "719-542-5300",
            "fax_number": "719-545-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLWEND",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "H-D-1-00143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Dee Witte, PT
• Christina Wodiuk
• Allison Woeber
• Grace Laila Woern
• Gary Gene Wofford, M.D.
• Joseph Wohlwend, DDS
• Yonas Woldekiristos, MD
• Kristina Marie Wolf, FNP-BC
• Desiree Wolfe, RN
• Womens Health Center Inc

• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.