NPIMap

Organization Active NPI

Wolter Advanced Dental Care, PC

  • General Practice Dentistry
  • Chambersburg, PA
National Provider Identifier
1871265595
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WOLTER ADVANCED DENTAL CARE, PC
Practice address
20 Parkwood Dr Ste 3
Chambersburg, PA 17201-4400
Phone
(717) 496-9093
Fax
(717) 660-2982
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Michael D Wolter, DDS
Title
Owner
Phone
(717) 496-9093

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

20 Parkwood Dr Ste 3
Chambersburg, PA 17201-4400

Mailing address

20 Parkwood Dr Ste 3
Chambersburg, PA 17201-4400
Phone (717) 496-9093

National Provider Directory

National Provider Directory
Tax ID family
Wolter Family Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1871265595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARKWOOD DR STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014400",
            "telephone_number": "717-496-9093",
            "fax_number": "717-660-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARKWOOD DR STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014400",
            "telephone_number": "717-496-9093",
            "fax_number": "717-660-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLTER ADVANCED DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-496-9093",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.