Individual provider Active NPI

Pascal Wollach

  • General Practice Dentistry
  • Lansdale, PA
National Provider Identifier
1386190692
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040893 Issued in PA
Practice address
601 E Main St Ste 2
Lansdale, PA 19446-2947
Phone
(610) 933-3717
NPI assigned
Aug 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040893 PA Primary

Addresses

Primary practice location

601 E Main St Ste 2
Lansdale, PA 19446-2947

Mailing address

601 E Main St Ste 2
Lansdale, PA 19446-2947
Phone (215) 855-9068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230726000492 PA Order and Referring Only - DentistPractitioner - Dentist 9032570916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040893PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wollach Family Dental PC General Practice CurrentSince Nov 24, 2025 Accepting new patients

Locations

601 E Main St
Ste 2
Lansdale, PA 19446
Phone (215) 855-9068

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1386190692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST STE 2",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462947",
            "telephone_number": "215-855-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST STE 2",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462947",
            "telephone_number": "610-933-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLACH",
        "first_name": "PASCAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-27",
        "last_updated": "2024-08-03",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.