Kristina Wolf, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025343 Issued in OH

Practice address

5005 Rockside Rd Ste 1225
Independence, OH 44131-6809

Phone

(216) 447-9830

NPI assigned

Mar 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Locations

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.

• McGuire Orthodontics and Facial Orthopedics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Solon, OH
  • NPI 1679181390
  NPD

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1689067415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 ROCKSIDE RD STE 1225",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316809",
            "telephone_number": "216-447-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 ROCKSIDE RD STE 1225",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316809",
            "telephone_number": "216-447-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Som Center Rd Ste B12",
            "address_purpose": "LOCATION",
            "city": "Solon",
            "state": "OH",
            "postal_code": "441392911",
            "country_code": "US",
            "telephone_number": "440-683-4777",
            "fax_number": "440-349-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hostetler Rd",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159043111",
            "country_code": "US",
            "telephone_number": "814-266-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KRISTINA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040686",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@clevelandtmjsleep.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5005 Rockside Rd Ste 1225",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441316809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tekisha Dirrelle Wimbush, LSW
• Amy K Windover, PHD
• Nalijah Winfield
• Karen Winn, NP
• Cassandra Wisdom
• Lori Ann Wolfe, LPCC
• Stacey Wolfe
• Stephanie Wolford, BCBA, COBA
• Malia Wolverton, M.ED., BCBA
• Precisse Woods

• General Practice Dentistry in Independence, OH
• Providers in Independence, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.