Active NPI
Beate Gudrun Wolfe, D.D.S.
- Dentist
- Santa Ynez, CA
National Provider Identifier
1467758177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48061
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 48061 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Ynez Band of Mission Indians | Past | 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.
-
dba Santa Ynez Tribal Health Clinic
- Federally Qualified Health Center (FQHC)
- Santa Ynez, CA
- NPI 1992779417
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.