Morris Walter Wasylenki, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

OH 30-01-8800 Issued in OH

Practice address

370 Cline Avenue
Mansfield, OH 44907

Phone

(419) 756-3788

Fax

(419) 756-6643

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609097955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CLINE AVENUE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44907",
            "telephone_number": "419-756-3788",
            "fax_number": "419-756-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CLINE AVENUE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44907",
            "telephone_number": "419-756-3788",
            "fax_number": "419-756-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASYLENKI",
        "first_name": "MORRIS",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "OH 30-01-8800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly E Warner
• Tonia J Warner
• Ashley Warrick
• Jacy Warrick, LPC
• Washington Township Trustees
• Amy M Watson, LISW
• Jillian Watson, INTERN
• Zachary Edward Watson, RN, NP-C
• We Care Ambulance, LLC
• Laura L Weakland, MD

• Periodontics in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Periodontics in Ohio

• 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.

Verify at the official NPI Registry.