Michael Wolf DDS P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10364 Issued in MN

Legal business name

MICHAEL WOLF DDS P.A.

Practice address

999 50TH Ave NE
Suite 200
Columbia Heights, MN 55421-1900

Phone

(763) 571-4837

Fax

(763) 571-0074

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Barry Wolf, D.D.S.

Title

President

Phone

(763) 571-4837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760509954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 50TH AVE NE",
            "address_2": "SUITE 200",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211900",
            "telephone_number": "763-571-4837",
            "fax_number": "763-571-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 50TH AVE NE",
            "address_2": "SUITE 200",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211900",
            "telephone_number": "763-571-4837",
            "fax_number": "763-571-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WOLF DDS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-571-4837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Tyler Marvin, DDS
• McCallum Chiropractic Inc.
• Lawrence Edward McCallum, D.C.
• Denise McDowell
• Medtronic Monitoring, Inc
• Midwest Elite Care LLC
• Midwest Group Home
• Minncare Services Inc
• Minnesota Alternatives, LLC
• Minnesota Home Health Care LLC

• General Practice Dentistry in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.