Individual provider Active NPI

Edwin William Wolske, D.D.S.

  • General Practice Dentistry
  • Pleasant Hill, CA
National Provider Identifier
1578660353
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23469 Issued in CA
Practice address
140 Gregory LN
Suite 200
Pleasant Hill, CA 94523-3399
Phone
(925) 685-8587
Fax
(925) 685-7009
NPI assigned
Sep 20, 2006
Last updated
Oct 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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 23469 CA Primary

Addresses

Primary practice location

140 Gregory LN
Suite 200
Pleasant Hill, CA 94523-3399

Mailing address

140 Gregory LN
Suite 200
Pleasant Hill, CA 94523-3399
Phone (925) 685-8587

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

LicenseStateTypeSpecialty
23469CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1578660353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GREGORY LN",
            "address_2": "SUITE 200",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233399",
            "telephone_number": "925-685-8587",
            "fax_number": "925-685-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GREGORY LN",
            "address_2": "SUITE 200",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233399",
            "telephone_number": "925-685-8587",
            "fax_number": "925-685-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSKE",
        "first_name": "EDWIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.