Constance Jin Wentworth, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

056481 Issued in NY

Practice address

19 Limestone Dr Ste 2
Williamsville, NY 14221-7091

Phone

(716) 675-6204

Fax

(716) 675-4841

NPI assigned

Jul 6, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Chester Co Endodonitcs South

  • Endodontics
  • Kennett Square, PA
  • NPI 1245322692
  NPD (past)
• Chester County Endodontics, PC

  • Endodontics
  • Kennett Square, PA
  • NPI 1235794215
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1710274071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LIMESTONE DR STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217091",
            "telephone_number": "716-675-6204",
            "fax_number": "716-675-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LIMESTONE DR STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217091",
            "telephone_number": "716-675-6204",
            "fax_number": "716-675-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 Seneca St Ste O",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142243444",
            "country_code": "US",
            "telephone_number": "716-675-4828",
            "fax_number": "716-675-4841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "CONSTANCE",
        "middle_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "056481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Wells, LPN
• Lindsay Wellspeak, LPN
• Hong Yu Daisy Wen, M.D.
• Amy Wendell, LPN
• Amanda Wenner, MA LMHC
• Dennis M Weppner, MD
• Alexandra Wesley, M.D.
• Amanda Rose Szczesniak Wesolowski, DPT
• Roxanne West, RN
• Daniel Westerling, RPH

• Endodontics in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.