Active NPI
Christopher Leon Wolf, D.D.S.
- General Practice Dentistry
- North Beach, MD
National Provider Identifier
1982965307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14998
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150514000189 | MD | Order and Referring Only - Dentist | 0446570519 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14998 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.