Wolf and Osborne, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018111 Issued in IL

Legal business name

WOLF AND OSBORNE, LTD

Practice address

1353 E Mound Rd
Decatur, IL 62526-9345

Phone

(217) 875-7600

Fax

(217) 875-7681

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Thomas WolfNPI 1457844094

Title

President/General Dentist

Phone

(217) 875-7600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Thomas Wolf, DMD

  • General Practice Dentistry
  • Decatur, IL
  • NPI 1457844094
  NPD Authorized official

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1801263272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 E MOUND RD STE 101",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263600",
            "telephone_number": "217-875-7600",
            "fax_number": "217-875-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 E MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269345",
            "telephone_number": "217-875-7600",
            "fax_number": "217-875-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF AND OSBORNE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/GENERAL DENTIST",
        "authorized_official_telephone_number": "217-875-7600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jala Wilson, BCBA
• Pamela Wilson
• Darla Renee Winings, PTA
• Emily Anne Wisler, MS, RDN, LDN
• Shannon Witts
• Kevin Thomas Wolf, DMD
• Matthew Paul Wolter, CRNA
• Women'S Health Care Specialists of Decatur, LLC
• Carol A Wood
• Elizabeth R Wood

• General Practice Dentistry in Decatur, IL
• Providers in Decatur, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.