Active NPI
Steven F Wolken, DDS
- Dentist
- Saint Louis, MO
National Provider Identifier
1689821613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 012119
- Practice address
- 8888 Ladue Rd
Suite 200
Saint Louis, MO 63124-2056 - Phone
- (314) 727-6676
- Fax
- (314) 721-0930
- NPI assigned
- Aug 21, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 012119 | MO | Primary |
Addresses
Primary practice location
8888 Ladue Rd
Suite 200
Saint Louis, MO 63124-2056
Mailing address
8888 Ladue Rd
Suite 200
Saint Louis, MO 63124-2056
Phone (314) 727-6676
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 |
|---|---|---|---|
| 012119 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolken Dental | Past | Accepting new patients | |
| Wolken Dental D D S P C | 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
- St. Louis, MO
- NPI 1104929710
-
- Customized Equipment (DME)
- Saint Louis, MO
- NPI 1053850909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1689821613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8888 LADUE RD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631242056",
"telephone_number": "314-727-6676",
"fax_number": "314-721-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8888 LADUE RD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631242056",
"telephone_number": "314-727-6676",
"fax_number": "314-721-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLKEN",
"first_name": "STEVEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "012119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.