Katie Marie Wolter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011906 Issued in AZ

Practice address

524 E Baseline Rd
Phoenix, AZ 85042-6554

Phone

(602) 276-4004

NPI assigned

Jun 8, 2022

Last updated

Mar 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Siouxland Dental Health - South Sioux, LLC

  • General Practice Dentistry
  • South Sioux City, NE
  • NPI 1386981561
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1508595075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W FRYE RD APT 2014",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243215",
            "telephone_number": "563-513-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E BASELINE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426554",
            "telephone_number": "602-276-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Dy Wolpert, FPMHNP
• Kathleen Wolsh, SCHOOL PSYCHOLOGIST
• Christopher E Wolter, MD
• Janell Rebekah Wolter
• Joan Wolter
• Kristin Joy Wolter, PHARMD
• Sierra Wolter, M.D.
• Barbara Ann Womack, BARBARA WOMACK, PT
• Shante Womack
• Women Making a Difference Inc (Lindas Specialty Shop)

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.