Emma Pollack, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64556 Issued in CA

Practice address

1001 46TH St
#322
Emeryville, CA 94608-3464

Phone

(646) 319-6988

NPI assigned

Jul 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1225414360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 46TH ST",
            "address_2": "#322",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 46TH ST",
            "address_2": "#322",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083464",
            "telephone_number": "646-319-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "EMMA",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allente Piazza
• Ronald W. Pilato, PSYD
• Jess Pinder, RN, NP
• Tracy Pitcher
• Amber Michelle Pohl, PA-C
• Sarah Pontell, PA
• Eilda Portillo, PA-C
• Timothy Van Dyke Potts, L.AC.
• Poverty Free Alliance
• Mili Prakash

• General Practice Dentistry in Emeryville, CA
• Providers in Emeryville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.