Individual provider Active NPI

Christopher Leon Wolf, D.D.S.

  • General Practice Dentistry
  • North Beach, MD
National Provider Identifier
1982965307
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14998 Issued in MD
Practice address
9120 Chesapeake Ave # 301
North Beach, MD 20714-5017
Phone
(443) 550-8115
NPI assigned
Jun 1, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20150514000189 MD Order and Referring Only - DentistPractitioner - Dentist 0446570519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14998 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

9120 Chesapeake Ave # 301
North Beach, MD 20714-5017

Mailing address

7532 Grindstone CT
Chesapeake Beach, MD 20732-4121
Phone (410) 353-7840

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2015.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1982965307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 GRINDSTONE CT",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207324121",
            "telephone_number": "410-353-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 CHESAPEAKE AVE # 301",
            "city": "NORTH BEACH",
            "state": "MD",
            "postal_code": "207145017",
            "telephone_number": "443-550-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-01",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Beach, MD

Sources for this page

Verify at the official NPI Registry.