Chris K Wyszynski, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019021388 Issued in IL

Practice address

USA Dentac Fort Cavazos
36000 Shoemaker Lane Suite 1051
Fort Cavazos, TX 76544-1529

Phone

(542) 867-4022

NPI assigned

Nov 29, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1093882417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA DENTAC FORT CAVAZOS",
            "address_2": "36000 SHOEMAKER LANE, SUITE 1051",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-286-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA DENTAC FORT CAVAZOS",
            "address_2": "36000 SHOEMAKER LANE SUITE 1051",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "765441529",
            "telephone_number": "542-867-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSZYNSKI",
        "first_name": "CHRIS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kaye Williamson, FNP-C, WHNP-BC
• Harold Willis Jr.
• Nina Marie Wilson
• Ana Maria Wolf-Carrizo
• Cameron Seth Wolterstorff, M.D.
• Jordan Yee, DMD
• Kwame Yiadom, PHARM.D
• Esther Y Yoon, PSYD
• Justin Scott Zimmerman, DPT

• General Practice Dentistry in Fort Cavazos, TX
• Providers in Fort Cavazos, 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 Aug 25, 2023; 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.