Douglas Steven Wolff, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11236 Issued in MN

Practice address

3007 Lyndale Ave S
Minneapolis, MN 55408-2935

Phone

(651) 351-7777

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Smile Orthodontics Stillwater LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Minneapolis, MN
  • NPI 1356854442
  NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1780690982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 GRAND AVE # 531",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053002",
            "telephone_number": "651-351-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082935",
            "telephone_number": "651-351-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1670 Beam Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091225",
            "country_code": "US",
            "telephone_number": "651-351-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 New England Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826683",
            "country_code": "US",
            "telephone_number": "651-351-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "DOUGLAS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5051015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324313300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carin Joy Wolfe, LP
• Jennifer Marie Wolfe, MS, PMHCNS-BC
• Kevin Wolfe, DO
• Lisa I Wolfe, APNP
• Wolff Chiropractic
• Patricia Ann Wolff, D.C.
• Ryan Wolff, D.D.S.
• Steven Wolinski, MS, LP
• Madeline Wollersheim, CCC-SLP
• Kristi Rochelle Wollitz, OTR/L

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.