Active NPI
Lorne Wasylucha, DDS
- Dentist
- Abilene, TX
National Provider Identifier
1316613177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35963
- Practice address
- 4102 Buffalo Gap Rd Ste L
Abilene, TX 79605-7243 - Phone
- (325) 695-2015
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35963 | TX | Primary |
Addresses
Primary practice location
4102 Buffalo Gap Rd Ste L
Abilene, TX 79605-7243
Mailing address
2520 K Ave Ste 700-264
Plano, TX 75074-5342
Phone (469) 613-6126
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | smileguy@me.com | Direct | |
| CONNECT URL | zorro1844@pm.me | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35963 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1316613177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 K AVE STE 700-264",
"city": "PLANO",
"state": "TX",
"postal_code": "750745342",
"telephone_number": "469-613-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 BUFFALO GAP RD STE L",
"city": "ABILENE",
"state": "TX",
"postal_code": "796057243",
"telephone_number": "325-695-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASYLUCHA",
"first_name": "LORNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2021-12-17",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "smileguy@me.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3520 Wilshire Way Apt 5137",
"city": "Richardson",
"state": "TX",
"country_code": "US",
"postal_code": "750820269",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "zorro1844@pm.me",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3520 Wilshire Way Apt 5137",
"city": "Richardson",
"state": "TX",
"country_code": "US",
"postal_code": "750820269",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.