Individual provider Active NPI

Bernard John Wujcik Jr., DDS

  • General Practice Dentistry
  • York, PA
National Provider Identifier
1346246121
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-024484-L Issued in PA
Practice address
4318 Lincoln Hwy
York, PA 17406-8022
Phone
(717) 840-1560
Fax
(717) 840-1560
NPI assigned
Jun 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-024484-L PA Primary

Addresses

Primary practice location

4318 Lincoln Hwy
York, PA 17406-8022

Mailing address

4318 Lincoln Hwy
York, PA 17406-8022
Phone (717) 840-1560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205001544 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507181997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-024484-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1119657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1346246121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 LINCOLN HWY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174068022",
            "telephone_number": "717-840-1560",
            "fax_number": "717-840-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 LINCOLN HWY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174068022",
            "telephone_number": "717-840-1560",
            "fax_number": "717-840-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUJCIK",
        "first_name": "BERNARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-25",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-024484-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.