Individual provider Active NPI

John Wolfe, DMD

  • General Practice Dentistry
  • Shelbyville, KY
National Provider Identifier
1760274302
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11350 Issued in KY
Practice address
223 The Pointe Blvd
Shelbyville, KY 40065-7852
Phone
(502) 633-2229
NPI assigned
May 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11350 KY Primary

Addresses

Primary practice location

223 The Pointe Blvd
Shelbyville, KY 40065-7852

Mailing address

223 The Pointe Blvd
Shelbyville, KY 40065-7852
Phone (502) 633-2229

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251003000407 IN Practitioner - Dentist 4981100401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Louisville School of Dentistry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8500 W 110TH St
Suite 260
Overland Park, KS 66210-1892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11350KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hewlett Family Dental CurrentSince May 25, 2025 Accepting new patients
Aria Dental Care PC CurrentSince Aug 14, 2025 Accepting new patients

Locations

200 Byrd Way
Ste 205
Greenwood, IN 46143

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

223 The Pointe Blvd
Shelbyville, KY 40065
Phone (502) 487-0293

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.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1760274302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 THE POINTE BLVD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657852",
            "telephone_number": "502-633-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 THE POINTE BLVD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657852",
            "telephone_number": "502-633-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "11350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.