Nova Lifesmiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NOVA LIFESMILES PLLC

Practice address

17 Fort Evans Rd NE Ste C
Leesburg, VA 20176-4400

Phone

(703) 777-5025

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Josef Wollmann, DDSNPI 1992015721

Title

Manager

Phone

(949) 350-0122

Specialties & licenses 1

Addresses

Practitioners 1

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

• Josef Manfred Wollmann, D.D.S.

  • General Practice Dentistry
  • Alamo, TX
  • NPI 1992015721
  NPD Authorized official

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1003479627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21866 ENGLESIDE PL",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484543",
            "telephone_number": "949-350-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FORT EVANS RD NE STE C",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764400",
            "telephone_number": "703-777-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA LIFESMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "WOLLMANN",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-350-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Virginia Pelvic Surgery Associates, PC
• Northern Virginia Podiatry Group, P.C.
• Northland Hearing Centers, Inc.
• Northspring Behavioral Healthcare Inc
• Northspring Behavioral Healthcare, Inc.
• Nova Surgical Assists
• Visnja Novacki, MD
• Carrie R Nowell, PSY.D.
• Edward Nwanneka
• Walter M O'Brien, MD

• Dental Clinic/Center in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.