Individual provider Active NPI

Elizabeth Louise Pohlmann, DDS

  • Dentist
  • Canyon Lake, TX
National Provider Identifier
1609551712
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39677 Issued in TX
Practice address
1395 Sattler Rd Ste 4
Canyon Lake, TX 78132-2296
Phone
(830) 964-3161
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39677 TX Primary

Addresses

Primary practice location

1395 Sattler Rd Ste 4
Canyon Lake, TX 78132-2296

Mailing address

18111 La Cantera Ter Apt 4407
San Antonio, TX 78256-2688
Phone (830) 964-3161

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
39677TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1609551712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 LA CANTERA TER APT 4407",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562688",
            "telephone_number": "830-964-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 SATTLER RD STE 4",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781322296",
            "telephone_number": "830-964-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHLMANN",
        "first_name": "ELIZABETH",
        "middle_name": "LOUISE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Lake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; 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.