Jeffrey John Wolfe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7971 Issued in OR

Practice address

5025 SE 28TH Ave
Portland, OR 97202-4445

Phone

(503) 238-4418

Fax

(503) 238-0360

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey J Wolfe DDS PC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1942880190
  NPD Authorized official
• Kaiser Dental

  • Dental Assistant
  • Portland, OR
  • NPI 1003965922
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780605287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024445",
            "telephone_number": "503-238-4418",
            "fax_number": "503-238-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024445",
            "telephone_number": "503-238-4418",
            "fax_number": "503-238-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolfe Dental Cedar Mill
• Alex Sean Wolfe, LCSW
• Andrew Wolfe, LMT
• Bruce McLaren Wolfe, MD
• Jamie Nicole Wolfe, PHARMD
• Jeffry K Wolfe, MD
• Jill Anne Wolfe
• Johanna Wolfe
• John Christopher Wolfe, LCSW, MSW
• Jordan Wolfe, LCSW

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.