Active NPI
Marion C Wachnicki, DMD
- Endodontics
- North Conway, NH
National Provider Identifier
1346344686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2491
- Practice address
- 3519 White Mountain Highway
North Conway, NH 03860-0980 - Phone
- (603) 356-5501
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2491 | NH | Primary |
Addresses
Primary practice location
3519 White Mountain Highway
North Conway, NH 03860-0980
Mailing address
PO Box 980
North Conway, NH 03860-0980
Phone (603) 356-5501
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 |
|---|---|---|---|
| 2491 | NH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346344686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038600980",
"telephone_number": "603-356-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 WHITE MOUNTAIN HIGHWAY",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038600980",
"telephone_number": "603-356-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHNICKI",
"first_name": "MARION",
"middle_name": "C",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NH",
"license": "2491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.