Organization Active NPI

Wolfram Dental Corporation

  • Public Health Dentistry
  • Rancho Santa Margarita, CA
National Provider Identifier
1659007375
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
WOLFRAM DENTAL CORPORATION
Practice address
29941 Aventura Ste B
Rancho Santa Margarita, CA 92688-2015
Phone
(949) 888-3333
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Benjamin Tuinei
Title
Credentialing Manager
Phone
(602) 750-6897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

29941 Aventura Ste B
Rancho Santa Margarita, CA 92688-2015

Mailing address

29941 Aventura Ste B
Rancho Santa Margarita, CA 92688-2015
Phone (949) 888-3333

National Provider Directory

National Provider Directory

Locations

29941 Aventura
Ste B
Rancho Santa Margarita, CA 92688
Phone (949) 368-0193

Practitioners & affiliated clinicians

Practitioners 1

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1659007375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29941 AVENTURA STE B",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882015",
            "telephone_number": "949-888-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29941 AVENTURA STE B",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882015",
            "telephone_number": "949-888-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFRAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "TUINEI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-750-6897"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.