Dustin H Wahrendorf, D.C.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

13 Draper St
Oswego, NY 13126-1709

Phone

(315) 591-1091

NPI assigned

Feb 9, 2010

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1184956542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W BRIDGE ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262144",
            "telephone_number": "315-591-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DRAPER ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261709",
            "telephone_number": "315-591-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHRENDORF",
        "first_name": "DUSTIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia R Vivlamore, NP
• Jill C Voigt-Anzalone, MS ED
• Cassandra Marie Voong, MD
• Dallas K Voss
• Kara Vrooman
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1926)
• Wal-Mart Stores East LP (Wal-Mart Vision Center 30-1926)
• Sandra Lynn Waldron, LMSW
• Walgreen Co (Walgreens #17566)
• Rikki Lea Walker, FNP

• Student in an Organized Health Care Education/Training Program in Oswego, NY
• Providers in Oswego, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.