Robert P. Wolfenden DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROBERT P. WOLFENDEN DDS, PA

Practice address

1821 Wellness LN
Trinity, FL 34655-5359

Phone

(727) 372-3200

NPI assigned

Nov 23, 2011

Last updated

Nov 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert P Wolfenden, DDS

Title

President/Owner

Phone

(727) 372-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Keith Wolfenden, DMD

  • Dentist
  • Berthoud, CO
  • NPI 1629382981
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1487921193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WELLNESS LN",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555359",
            "telephone_number": "727-372-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WELLNESS LN",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555359",
            "telephone_number": "727-372-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. WOLFENDEN DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "WOLFENDEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "727-372-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "64637",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Robinson Riehl, MS, ARNP-BC
• Yousef Rifai
• Luis Santiago Rivera Gonzalez, MD
• Tallat M Rizk, MD
• RLB Surgical Assisting LLC
• Roberta a. Mix, D.O., P.a.
• Elizabeth Hope Jozaitis Roberts, MD
• Jose Ramon Roca, MD
• Daniel Hector Rodriguez, M.D.
• Amanda Roeding

• Dentist in Trinity, FL
• Providers in Trinity, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.