Michelle M. Wasno, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028634L Issued in PA

Practice address

514 Wild Mint LN
Allentown, PA 18104-8409

Phone

(610) 395-5605

NPI assigned

Dec 13, 2006

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Star Community Health, Inc

  • General Practice Physician
  • Bethlehem, PA
  • NPI 1033686159
  Medicare reassignment NPD
• Star Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Bethlehem, PA
  • NPI 1942832720
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679634570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 BROADWAY",
            "address_2": "SUITE102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045265",
            "telephone_number": "610-395-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 WILD MINT LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048409",
            "telephone_number": "610-395-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASNO",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028634L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Trubilla Warren, D.D.S.
• Dee Wartenberg, BS, NCTMB, RM
• Suzanne Wary
• Susan Washburn, CRNP
• Erica Wasilkowski, PA
• Allison Wass, RN, BSN
• Michael J Wassel Jr., PA-C
• Ronald E Wasserman, MD
• Minami Watanabe, MD, MPH
• Heather Watkins, MA

• General Practice Dentistry in Allentown, PA
• Providers in Allentown, 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 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.