Thomas P Wollschlager, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0014055 Issued in FL

Practice address

2167 Crawfordville Hwy
Crawfordville, FL 32327-1035

Phone

(850) 926-7700

Fax

(850) 926-1477

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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

State licenses

Practice roles

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.

• Marino Total Dental Care PLLC

  • Dental Clinic/Center
  • Crawfordville, FL
  • NPI 1336073741
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235263567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 CRAWFORDVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271035",
            "telephone_number": "850-926-7700",
            "fax_number": "850-926-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 CRAWFORDVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271035",
            "telephone_number": "850-926-7700",
            "fax_number": "850-926-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLSCHLAGER",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry F. Wells, R.PH.
• Connicia Suzette West
• Mary Gercak Westbrook, RN
• William Treichel DC PLC
• Ethan Wilson, PT, DPT
• Marsha Wood, LMT

• General Practice Dentistry in Crawfordville, FL
• Providers in Crawfordville, FL by specialty
• General Practice Dentistry in Florida

• 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.
• 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.