Individual provider Active NPI

Beate Gudrun Wolfe, D.D.S.

  • Dentist
  • Santa Ynez, CA
National Provider Identifier
1467758177
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48061 Issued in CA
Practice address
90 Via Juana Lane
Santa Ynez Tribal Health Clinic
Santa Ynez, CA 93460
Phone
(805) 688-7070
Fax
(805) 686-2060
NPI assigned
Jan 28, 2011
Last updated
May 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40661 CA
Dentist 122300000X 48061 CA Primary

Addresses

Primary practice location

90 Via Juana Lane
Santa Ynez Tribal Health Clinic
Santa Ynez, CA 93460

Mailing address

PO Box 539
Santa Ynez Tribal Health Clinic
Santa Ynez, CA 93460
Phone (805) 688-7070

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
48061CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Ynez Band of Mission Indians PastSince Mar 7, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1467758177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "address_2": "SANTA YNEZ TRIBAL HEALTH CLINIC",
            "city": "SANTA YNEZ",
            "state": "CA",
            "postal_code": "93460",
            "telephone_number": "805-688-7070",
            "fax_number": "805-686-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VIA JUANA LANE",
            "address_2": "SANTA YNEZ TRIBAL HEALTH CLINIC",
            "city": "SANTA YNEZ",
            "state": "CA",
            "postal_code": "93460",
            "telephone_number": "805-688-7070",
            "fax_number": "805-686-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "BEATE",
        "middle_name": "GUDRUN",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40661",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ynez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.