NPIMap

Organization Active NPI

Wiernicki & Senyshyn P.a.

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1720521669
Registry record updated Mar 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12092 Issued in FL
Legal business name
WIERNICKI & SENYSHYN P.A.
Practice address
190 NW Spanish River Blvd
Suite #100
Boca Raton, FL 33431-4217
Phone
(561) 392-4010
Fax
(561) 392-4012
NPI assigned
Nov 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2017

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

Authorized official

Name
Dr. Thomas R. Wiernicki, DMDNPI 1740340504
Title
President
Phone
(561) 392-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN12092 FL Primary

Addresses

Primary practice location

190 NW Spanish River Blvd
Suite #100
Boca Raton, FL 33431-4217

Mailing address

190 NW Spanish River Blvd
Suite #100
Boca Raton, FL 33431-4217
Phone (561) 392-4010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489881600000",
    "number": "1720521669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NW SPANISH RIVER BLVD",
            "address_2": "SUITE #100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314217",
            "telephone_number": "561-392-4010",
            "fax_number": "561-392-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NW SPANISH RIVER BLVD",
            "address_2": "SUITE #100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314217",
            "telephone_number": "561-392-4010",
            "fax_number": "561-392-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIERNICKI & SENYSHYN P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-27",
        "last_updated": "2017-03-19",
        "status": "A",
        "authorized_official_last_name": "WIERNICKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-392-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2017; 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.