Elizabeth L Wakim DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ELIZABETH L WAKIM DDS LLC

Practice address

604 N Main St
Washington, PA 15301-3912

Phone

(724) 225-5070

Fax

(724) 225-5262

NPI assigned

Jun 16, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth L Wakim, DDS

Title

President

Phone

(724) 225-5070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William A McCormick III, DDS

  • Dentist
  • Washington, PA
  • NPI 1558451526
  NPD (past)

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1659865376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N MAIN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013912",
            "telephone_number": "724-225-5070",
            "fax_number": "724-225-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N MAIN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013912",
            "telephone_number": "724-225-5070",
            "fax_number": "724-225-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH L WAKIM DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WAKIM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-225-5070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030002210001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominique C Eckley
• Edward J. Roman D.D.S P.C
• Elizabeth Linn Effenberger, CRNP
• Reid Selim Elattrache, DMD
• Holly Elias, R.N.
• Jacqueline Nicole Ely, R.D., L.D.N
• Cheryld Emala, MSW, LCSW
• Emergency Care Physicians of Washington LLC
• Eric S. Walker O.D. and Associates
• Benjamin Essick, MD

• General Practice Dentistry in Washington, PA
• Providers in Washington, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.