Organization Active NPI

Wychock Construction

  • Home Modifications Contractor
  • Fredericksburg, VA
National Provider Identifier
1336499771
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
2705119134 Issued in VA
Legal business name
WYCHOCK CONSTRUCTION
Practice address
5711 Up a Way Dr
Fredericksburg, VA 22407-6749
Phone
(540) 604-3195
Fax
(540) 518-9213
NPI assigned
Sep 13, 2012
Last updated
Sep 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony J Wychock Jr.
Title
Owner
Phone
(540) 604-3195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 2705119134 VA Primary

Addresses

Primary practice location

5711 Up a Way Dr
Fredericksburg, VA 22407-6749

Mailing address

5711 Up a Way Dr
Fredericksburg, VA 22407-6749
Phone (540) 604-3195

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1336499771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 UP A WAY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076749",
            "telephone_number": "540-604-3195",
            "fax_number": "540-518-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 UP A WAY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076749",
            "telephone_number": "540-604-3195",
            "fax_number": "540-518-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCHOCK CONSTRUCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "WYCHOCK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-604-3195",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705119134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.