Larry F Wolff, D.D.S., PH.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

MN8687 Issued in MN

Practice address

4940 Viking Dr Ste 127
Edina, MN 55435-5306

Phone

(952) 835-3383

Fax

(952) 835-2818

NPI assigned

Oct 10, 2006

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 20, 2015 through Aug 20, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Northpark Dental

  • Dentist
  • Blaine, MN
  • NPI 1710161500
  NPD (past)
• Pentagon Dental Group, LTD

  • General Practice Dentistry
  • Edina, MN
  • NPI 1629166566
  NPD (past)
• University of Minnesota Physicians

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1952546061
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629166350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VIKING DR STE 127",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355306",
            "telephone_number": "952-835-3383",
            "fax_number": "952-835-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VIKING DR STE 127",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355306",
            "telephone_number": "952-835-3383",
            "fax_number": "952-835-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "LARRY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "MN8687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Wolf, OTD, OTR/L
• Daniel T Wolfe, PT
• Karen Eileen Wolfe, M.H.P.
• Stephanie Wolfe
• Anne E Wolff, MD
• Marri Lynn Wolff, PT
• Ashley M Wolfgram, CNP
• Carrie Flanery Wolke, MD
• Women and Adolescents Gynecology Center, LLC
• Women'S Health & Laser Aesthetic Center, LLC

• Periodontics in Edina, MN
• Providers in Edina, MN by specialty
• Periodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.