Active NPI
Martin Wolff, DDS
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1386137958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7473
- Practice address
- 770 N Cotner Blvd Ste 202
Lincoln, NE 68505-2344 - Phone
- (402) 434-2360
- NPI assigned
- Jun 8, 2018
- 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 | 7473 | NE | Primary |
Addresses
Primary practice location
770 N Cotner Blvd Ste 202
Lincoln, NE 68505-2344
Mailing address
2130 Devoe Dr
Lincoln, NE 68506-3119
Phone (402) 841-7605
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7473 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laynutza LLC | Current | Accepting new patients | |
| Bradshaw Mountain Family Dental Group PC | Past | Accepting new patients | |
| Bradshaw Mountain Family Dental | Past | Accepting new patients | |
| Dr. Jon C Asbjornson D.D.S. P.C. | General Practice | Past | Accepting new patients |
Locations
770 N Cotner Blvd
Ste 202
Lincoln, NE 68505
Phone (402) 434-2360
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Lincoln, NE
- NPI 1073221768
-
- General Practice Dentistry
- Lincoln, NE
- NPI 1235231382
-
- Preferred Provider Organization
- Prescott Valley, AZ
- NPI 1861855884
-
- Dental Clinic/Center
- Prescott Valley, AZ
- NPI 1972773141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1386137958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 DEVOE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063119",
"telephone_number": "402-841-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD STE 202",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052344",
"telephone_number": "402-434-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-08",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "7473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.