Nicole Robison Wolfgramm, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00011019 Issued in WA

Practice address

5204 N Road 68 Ste B
Pasco, WA 99301-9275

Phone

(509) 547-9955

NPI assigned

Aug 16, 2007

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

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.

• West Pasco Family Dental LLC

  • General Practice Dentistry
  • Pasco, WA
  • NPI 1447380233
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1659563245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GAGE BLVD APT 2076",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529685",
            "telephone_number": "509-737-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 N ROAD 68 STE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019275",
            "telephone_number": "509-547-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFGRAMM",
        "first_name": "NICOLE",
        "middle_name": "ROBISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00011019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakia Williams
• Rachelle Marie Williams, LMP
• Bonnie R Wilson, CDPT.CO.61645756
• Kileigh Wimer, M.S. CCC-SLP
• Gerald L Wodtli, O.D.
• Kelly Woodward Core, M.A.
• Jodie B Worthington, CNM, WHNP-BC
• Wright Surgical Arts LLC
• Wright Surgical Arts, LLC
• Davida Charlene Wright, RN

• Dentist in Pasco, WA
• Providers in Pasco, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.