Howard Polansky, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22652 Issued in TX

Practice address

1616 FM 685
Ste # 103
Pflugerville, TX 78660-7536

Phone

(512) 252-4655

Fax

(512) 252-4657

NPI assigned

Jan 12, 2006

Last updated

Jul 16, 2010By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 5, 2016 through Feb 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1447239827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 FM 685",
            "address_2": "STE # 103",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607536",
            "telephone_number": "512-252-4655",
            "fax_number": "512-252-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 FM 685",
            "address_2": "STE # 103",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607536",
            "telephone_number": "512-252-4655",
            "fax_number": "512-252-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANSKY",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035534",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PJ Medical Group LLC
• Planet Smile Dental Centers, PLLC
• PM Management - Pflugerville Al, LLC (Heatherwilde Assisted Living)
• PM Management-Pflugerville NC LLC (Pflugerville Care Center)
• Cassandra Lynne Polanski, PT, DPT
• Li Juan Polvadore
• Mary-Ellen Pon, LCSW
• Abigail Laura Ponce
• Molly L Pool, MA, SLP-CCC
• Amina Popoola

• General Practice Dentistry in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.