Individual provider Active NPI

Edward L. Woehling, D.D.S.

  • Periodontics
  • Rosemont, PA
National Provider Identifier
1124249750
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS019952-L Issued in PA
Practice address
1201 County Line Rd.
Suite 201
Rosemont, PA 19010-2636
Phone
(610) 525-8485
Fax
(610) 525-8602
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS019952-L PA Primary

Addresses

Primary practice location

1201 County Line Rd.
Suite 201
Rosemont, PA 19010-2636

Mailing address

1201 County Line Rd.
Suite 201
Rosemont, PA 19010-2636
Phone (610) 525-8485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS019952-LPAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Periodontal Associates PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124249750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 COUNTY LINE RD.",
            "address_2": "SUITE 201",
            "city": "ROSEMONT",
            "state": "PA",
            "postal_code": "190102636",
            "telephone_number": "610-525-8485",
            "fax_number": "610-525-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COUNTY LINE RD.",
            "address_2": "SUITE 201",
            "city": "ROSEMONT",
            "state": "PA",
            "postal_code": "190102636",
            "telephone_number": "610-525-8485",
            "fax_number": "610-525-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOEHLING",
        "first_name": "EDWARD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS019952-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.