Active NPI
Richard F. Wolven, D.D.S.
- Dentist
- Eureka, CA
National Provider Identifier
1386852796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21526
- Practice address
- 2750 Harrison Ave
Eureka, CA 95501-4738 - Phone
- (707) 443-9413
- Fax
- (707) 443-5419
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 21526 | CA | Primary |
Addresses
Primary practice location
2750 Harrison Ave
Eureka, CA 95501-4738
Mailing address
2750 Harrison Ave
Eureka, CA 95501-4738
Phone (707) 443-9413
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386852796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 HARRISON AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014738",
"telephone_number": "707-443-9413",
"fax_number": "707-443-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 HARRISON AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014738",
"telephone_number": "707-443-9413",
"fax_number": "707-443-5419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLVEN",
"first_name": "RICHARD",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "21526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
- With Open Arms Center for Reproductive Freedom
- With Open Arms Reproductive Health Care Services Inc
- With Opens Arms Reproductive Health Care Services
- Desirae Ann Witzke
- Jason F Wolven, D.D.S.
- Devin Scott Kenji Wong, MD
- Christopher Wood
- Tina Lisa Wood, PUBLIC HEALTH NURSE
- Deborah C Woodard, RN
- Aimee Leeanne Woods, LVN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.