David H. Wolf, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008949 Issued in IN

Practice address

8920 Southpointe Dr
Suite a-1
Indianapolis, IN 46227-7509

Phone

(317) 881-8161

Fax

(317) 881-8151

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

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.

• David H. Wolf DDS Family Dentistry PC

  • Dentist
  • Indianapolis, IN
  • NPI 1962793323
  NPD (past) Authorized official
• Amanda Miller DDS LLC

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1326867326
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1679589790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 SOUTHPOINTE DR",
            "address_2": "SUITE A-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277509",
            "telephone_number": "317-881-8161",
            "fax_number": "317-881-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 SOUTHPOINTE DR",
            "address_2": "SUITE A-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277509",
            "telephone_number": "317-881-8161",
            "fax_number": "317-881-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1679589790",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID H. WOLF DDS FAMILY DENTISTRY PC",
            "identifier": "1962793323",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica N Wolanin, R.D.
• Matthew Walter Wolenski, M.D.
• Anthony Charles Wolf, DC
• Blair Matthew Wolf, M.A., CCC-SLP
• Courtney E Wolf, NP
• Emilie M Wolf, NP
• Emily Anna Wolf, BSN, RN
• Eric Anthony Wolf, DC
• Hayley Wolf
• Jamie M Wolf, MED, LAT, ATC

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.