Kathleen Marie Wiernicki

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN29412 Issued in FL

Practice address

2239 N Commerce Pkwy Ste 100
Weston, FL 33326-3249

Phone

(954) 349-4004

NPI assigned

Aug 6, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wiernicki & Senyshyn P.a.

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1720521669
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1174353049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NW SPANISH RIVER BLVD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 N COMMERCE PKWY STE 100",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263249",
            "telephone_number": "954-349-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 NW Spanish River Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334314217",
            "country_code": "US",
            "telephone_number": "561-392-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIERNICKI",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nordia Whyte, PA
• Cristina Alexandra Wiborg, SLP
• Monica Wickham
• Mary Kathryn Wiedenhoeft, OM LAC NCCDOM
• Darice T Wiegel, DO
• Adrianna Alicja Wierzbicka, MD
• Gregg Orin Wilentz, DO
• Brandon Michael Wilkinson, MD
• Ashley Melissa Williams, PHARM.D.
• Barbara Elaine Williams, MS OTR/L

• General Practice Dentistry in Weston, FL
• Providers in Weston, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.