Kim Marie Wasko, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008360 Issued in CT

Practice address

140 Willow St
Ste 2
Winsted, CT 06098

Phone

(860) 379-4809

Fax

(860) 379-4270

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C&W Dentistry, LLC

  • Dentist
  • Winsted, CT
  • NPI 1942770722
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487792305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WILLOW ST",
            "address_2": "STE 2",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "06098",
            "telephone_number": "860-379-4809",
            "fax_number": "860-379-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WILLOW ST",
            "address_2": "STE 2",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "06098",
            "telephone_number": "860-379-4809",
            "fax_number": "860-379-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKO",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse & Hospice of Litchfield County Inc
• Visiting Nurse & Hospice of Litchfield County, Inc.
• Visiting Nurse & Hospice of Litchfield County, Inc.
• Leigh-Lynn Vitukinas, RDH
• Walgreen Co (Rite Aid)
• West Haven Vamc
• William P. Ryan, DMD, LLC
• Williams Chiropractic Center LLC
• Matthew Clay Williams
• Winchester Public Schools

• General Practice Dentistry in Winsted, CT
• Providers in Winsted, CT by specialty
• General Practice Dentistry in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.