Active NPI
William Pollack, D.M.D.
- Dentist
- Worcester, MA
National Provider Identifier
1891850236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12508
- Practice address
- 1010 Pleasant St
Worcester, MA 01602-1366 - Phone
- (508) 755-1293
- Fax
- (508) 755-0537
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12508 | MA | Primary |
Addresses
Primary practice location
1010 Pleasant St
Worcester, MA 01602-1366
Mailing address
1010 Pleasant St
Worcester, MA 01602-1366
Phone (508) 755-1293
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12508 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891850236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 PLEASANT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016021366",
"telephone_number": "508-755-1293",
"fax_number": "508-755-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PLEASANT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016021366",
"telephone_number": "508-755-1293",
"fax_number": "508-755-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "12508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.