Organization Active NPI

Elliot a. Wolf D.D.S., Inc.

  • Dental Clinic/Center
  • Cleveland, OH
National Provider Identifier
1376708982
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
018730 Issued in OH
Legal business name
ELLIOT A. WOLF D.D.S., INC.
Practice address
14100 Cedar Rd
Suite 340
Cleveland, OH 44121-3212
Phone
(216) 381-3356
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Elliot A Wolf, D.D.S.
Title
Dentist, President of Corp.
Phone
(216) 381-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 018730 OH Primary

Addresses

Primary practice location

14100 Cedar Rd
Suite 340
Cleveland, OH 44121-3212

Mailing address

14100 Cedar Rd
Suite 340
Cleveland, OH 44121-3212
Phone (216) 381-3356

National Provider Directory

National Provider Directory

Locations

14100 Cedar Rd
Ste 340
Cleveland, OH 44121
Phone (216) 381-3356

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1376708982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 CEDAR RD",
            "address_2": "SUITE 340",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213212",
            "telephone_number": "216-381-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 CEDAR RD",
            "address_2": "SUITE 340",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441213212",
            "telephone_number": "216-381-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT A. WOLF D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST, PRESIDENT OF CORP.",
        "authorized_official_telephone_number": "216-381-3356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "018730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.