NPIMap

Organization Active NPI

Chris Wolberg DDS & Associates

  • General Practice Dentistry
  • North Chesterfield, VA
National Provider Identifier
1548816598
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHRIS WOLBERG DDS & ASSOCIATES
Practice address
11507 Allecingie Pkwy
North Chesterfield, VA 23235-4301
Phone
(804) 379-9375
Fax
(804) 379-3913
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Christopher Gust Wolberg, DDSNPI 1669902466
Title
Owner-President-Dentist
Phone
(804) 379-9375

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11507 Allecingie Pkwy
North Chesterfield, VA 23235-4301

Mailing address

11507 Allecingie Pkwy
North Chesterfield, VA 23235-4301
Phone (804) 379-9375

National Provider Directory

National Provider Directory

Locations

11507 Allecingie Pkwy
North Chesterfield, VA 23235
Phone (804) 379-9375

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1548816598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 ALLECINGIE PKWY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354301",
            "telephone_number": "804-379-9375",
            "fax_number": "804-379-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 ALLECINGIE PKWY",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354301",
            "telephone_number": "804-379-9375",
            "fax_number": "804-379-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS WOLBERG DDS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "WOLBERG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GUST",
        "authorized_official_title_or_position": "OWNER-PRESIDENT-DENTIST",
        "authorized_official_telephone_number": "804-379-9375",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.