Catherine Elaine Wurm, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

11035 Issued in MN

Practice address

1521 Northway Dr
Suite 115
Saint Cloud, MN 56303-4489

Phone

(320) 656-1456

Fax

(320) 656-0195

NPI assigned

Aug 22, 2006

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 MN

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023124179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 NORTHWAY DR",
            "address_2": "SUITE 115",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034489",
            "telephone_number": "320-656-1456",
            "fax_number": "320-656-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NORTHWAY DR",
            "address_2": "SUITE 115",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034489",
            "telephone_number": "320-656-1456",
            "fax_number": "320-656-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURM",
        "first_name": "CATHERINE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "11035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Wright, RD
• Kristine Wright
• Michelle A Wright, RN
• Jacqueline Mary Wruck, LADC
• Raymond Frank Wunderlich
• Thomas Wyne, M.D.
• Charina H Wynia, RN CNP
• Farhiyo Yahye
• David Wiles Yancey, D.C.
• Anney Kabao Yang, PHARMD

• Endodontics in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Endodontics in Minnesota

• 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.
• 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.