Active NPI
Wychock Construction
- Home Modifications Contractor
- Fredericksburg, VA
National Provider Identifier
1336499771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 2705119134
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.