Active NPI
Wellness Dental Management LLC
- General Practice Dentistry
- Albany, NY
National Provider Identifier
1417115254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WELLNESS DENTAL MANAGEMENT LLC
- Practice address
- 436 New Scotland Ave
Albany, NY 12208-2710 - Phone
- (518) 857-1876
- NPI assigned
- May 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karl F Pogge
- Title
- Owner
- Phone
- (603) 622-6288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
436 New Scotland Ave
Albany, NY 12208-2710
Mailing address
436 New Scotland Ave
Albany, NY 12208-2710
Phone (518) 857-1876
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1417115254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122082710",
"telephone_number": "518-857-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122082710",
"telephone_number": "518-857-1876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS DENTAL MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "POGGE",
"authorized_official_first_name": "KARL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-622-6288"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.