Active NPI
Christopher Wolberg, DDS
- Dentist
- North Chesterfield, VA
National Provider Identifier
1669902466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415636
- Practice address
- 11507 Allecingie Pkwy
North Chesterfield, VA 23235-4301 - Phone
- (804) 379-9375
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415636 | VA | Primary |
Addresses
Primary practice location
11507 Allecingie Pkwy
North Chesterfield, VA 23235-4301
Mailing address
4306 W Franklin St
Richmond, VA 23221-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415636 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris Wolberg DDS & Associates | Past | Accepting new patients | |
| J a Mera Ddspc & Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- North Chesterfield, VA
- NPI 1548816598
-
- General Practice Dentistry
- Richmond, VA
- NPI 1861653974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1669902466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4306 W FRANKLIN ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232211112"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLBERG",
"first_name": "CHRISTOPHER",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415636",
"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 Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.