Katie Wesneski Whitworth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35515 Issued in TX

Practice address

1211 S Bridge St
Brady, TX 76825-6229

Phone

(325) 597-0464

NPI assigned

Jul 29, 2019

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Mason, TX
  • NPI 1235381088
  Medicare reassignment NPD
• Frontera Healthcare Network

  dba Frontera Healthcare Network - Menard Medical

  • Federally Qualified Health Center (FQHC)
  • Menard, TX
  • NPI 1447594247
  NPD
• Frontera Healthcare Network

  dba Frontera Fredericksburg Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, TX
  • NPI 1730976770
  NPD

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1003460080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 RANCH ROAD 385",
            "city": "LONDON",
            "state": "TX",
            "postal_code": "768545600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S BRIDGE ST",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768256229",
            "telephone_number": "325-597-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "KATIE",
        "middle_name": "WESNESKI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Nobles Sutton, P.T.
• Texas Oxycare, Inc.
• Mary Elizabeth Torrez, LVN
• Lonnie Lee Vickers, MD
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0917)

• General Practice Dentistry in Brady, TX
• Providers in Brady, 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 Oct 29, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.