Active NPI
Maria G Wolos, D.D.S.
- General Practice Dentistry
- Bath, NY
National Provider Identifier
1366556169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 035520
- Practice address
- 226 W Morris St
Bath, NY 14810-1413 - Phone
- (607) 776-8930
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 035520 | NY | Primary |
Addresses
Primary practice location
226 W Morris St
Bath, NY 14810-1413
Mailing address
18 Churchill PL
Big Flats, NY 14814-9767
Phone (607) 562-7440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00035520 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035520 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366556169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CHURCHILL PL",
"city": "BIG FLATS",
"state": "NY",
"postal_code": "148149767",
"telephone_number": "607-562-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 W MORRIS ST",
"city": "BATH",
"state": "NY",
"postal_code": "148101413",
"telephone_number": "607-776-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLOS",
"first_name": "MARIA",
"middle_name": "G",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "035520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00035520",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
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.