Individual provider Active NPI

Janet K Wolery, DMD

  • General Practice Dentistry
  • Powell, OH
National Provider Identifier
1649588484
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-017831 Issued in OH
Practice address
Hidden Ravines Dental
28 Hidden Ravines Drive
Powell, OH 43065
Phone
(740) 369-1953
Fax
(740) 369-1954
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30-017831 OH Primary

Addresses

Primary practice location

Hidden Ravines Dental
28 Hidden Ravines Drive
Powell, OH 43065

Mailing address

28 Hidden Ravines Drive
Powell, OH 43065-8736
Phone (740) 369-1953

Other practice location 1

695 W Central Ave Ste B
Delaware, OH 43015-1587
Phone (740) 369-1953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428000994 OH Order and Referring Only - DentistPractitioner - Dentist 3779802632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-017831OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Janet K Wolery DMD LLC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1649588484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HIDDEN RAVINES DRIVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658736",
            "telephone_number": "740-369-1953",
            "fax_number": "740-369-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIDDEN RAVINES DENTAL",
            "address_2": "28 HIDDEN RAVINES DRIVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "740-369-1953",
            "fax_number": "740-369-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 W Central Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430151587",
            "country_code": "US",
            "telephone_number": "740-369-1953",
            "fax_number": "740-369-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLERY",
        "first_name": "JANET",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-017831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.