John Whytosek, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS-030593-L Issued in PA

Practice address

29 Morris Ave
Bryn Mawr Central
Bryn Mawr, PA 19010-3335

Phone

(610) 527-6061

Fax

(610) 527-5857

NPI assigned

Oct 4, 2006

Last updated

Oct 25, 2011By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Jul 9, 2015 through Jul 9, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1285729269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MORRIS AVE",
            "address_2": "BRYN MAWR CENTRAL",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103335",
            "telephone_number": "610-527-6061",
            "fax_number": "610-527-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MORRIS AVE",
            "address_2": "BRYN MAWR CENTRAL",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103335",
            "telephone_number": "610-527-6061",
            "fax_number": "610-527-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTOSEK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS-030593-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.