Organization Active NPI

WM Bolak, DMD & Associates, P.a.

  • Endodontics
  • Plano, TX
National Provider Identifier
1386725000
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WM BOLAK, DMD & ASSOCIATES, P.A.
Practice address
5509 Pleasant Valley Dr
Suite 700
Plano, TX 75023-5248
Phone
(972) 964-3636
Fax
(972) 519-0127
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. William Michael Bolak, D.M.D.
Title
President
Phone
(972) 964-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

5509 Pleasant Valley Dr
Suite 700
Plano, TX 75023-5248

Mailing address

5509 Pleasant Valley Dr
Suite 700
Plano, TX 75023-5248
Phone (972) 964-3636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1386725000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR",
            "address_2": "SUITE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235248",
            "telephone_number": "972-964-3636",
            "fax_number": "972-519-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 PLEASANT VALLEY DR",
            "address_2": "SUITE 700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235248",
            "telephone_number": "972-964-3636",
            "fax_number": "972-519-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM BOLAK, DMD & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "BOLAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-964-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.