Organization Active NPI

Toni Ellis Wolf, DDS, PC

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1447352489
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TONI ELLIS WOLF, DDS, PC
Practice address
64 Old Orchard Professional Building
Suite 232
Skokie, IL 60077-1412
Phone
(847) 673-2052
Fax
(847) 673-5002
NPI assigned
Sep 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Toni Ellis Wolf, DDSNPI 1821190869
Title
President
Phone
(847) 673-2052

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
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

64 Old Orchard Professional Building
Suite 232
Skokie, IL 60077-1412

Mailing address

64 Old Orchard Professional Building
Suite 232
Skokie, IL 60077-1412
Phone (847) 673-2052

National Provider Directory

National Provider Directory
Tax ID family
Old Orchard Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447352489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 OLD ORCHARD PROFESSIONAL BUILDING",
            "address_2": "SUITE 232",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771412",
            "telephone_number": "847-673-2052",
            "fax_number": "847-673-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 OLD ORCHARD PROFESSIONAL BUILDING",
            "address_2": "SUITE 232",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771412",
            "telephone_number": "847-673-2052",
            "fax_number": "847-673-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI ELLIS WOLF, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-673-2052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.