Active NPI
Josef Manfred Wollmann, D.D.S.
- General Practice Dentistry
- Alamo, TX
National Provider Identifier
1992015721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0026078
- Practice address
- 109 S 6TH St
Ste a
Alamo, TX 78516-2541 - Phone
- (956) 787-3317
- NPI assigned
- Oct 14, 2010
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0026078 | TX | Primary |
Addresses
Primary practice location
109 S 6TH St
Ste a
Alamo, TX 78516-2541
Mailing address
109 S 6TH St
Ste a
Alamo, TX 78516-2541
Phone (956) 787-3317
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 |
|---|---|---|---|
| 0026078 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Lifesmiles PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Leesburg, VA
- NPI 1003479627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1992015721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S 6TH ST",
"address_2": "STE A",
"city": "ALAMO",
"state": "TX",
"postal_code": "785162541",
"telephone_number": "956-787-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S 6TH ST",
"address_2": "STE A",
"city": "ALAMO",
"state": "TX",
"postal_code": "785162541",
"telephone_number": "956-787-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLMANN",
"first_name": "JOSEF",
"middle_name": "MANFRED",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-14",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "0026078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.