Kathryn Keane Wych, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855881 Issued in MA

Practice address

1 Plummers Cor
Suite 103
Whitinsville, MA 01588-2135

Phone

(508) 234-6634

Fax

(508) 234-2552

NPI assigned

Apr 28, 2011

Last updated

Jun 20, 2014By 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

Other names 1

• Kathryn Anne Keane Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

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.

• Wych Family Dental, PC

  • General Practice Dentistry
  • Whitinsville, MA
  • NPI 1861807513
  NPD (past) Authorized official

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1710278452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLUMMERS COR",
            "address_2": "SUITE 103",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882135",
            "telephone_number": "508-234-6634",
            "fax_number": "508-234-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLUMMERS COR",
            "address_2": "SUITE 103",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882135",
            "telephone_number": "508-234-6634",
            "fax_number": "508-234-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCH",
        "first_name": "KATHRYN",
        "middle_name": "KEANE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KEANE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitinsville Orthodontics PLLC
• Dena Semonia Whittle
• Eurayshia Williams Reed
• Wilmington Medical Supply, Inc.
• Wych Family Dental, PC
• Steven Wych
• Meaghan Young, DPT
• Sonia Cristina Zeyl, LICSW
• Devin Zucker

• General Practice Dentistry in Whitinsville, MA
• Providers in Whitinsville, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.