Kenneth B Wieczorek, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS035387L Issued in PA

Practice address

1220 Old York Road
Warminster, PA 18974

Phone

(215) 672-5320

Fax

(215) 672-1874

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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

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.

• Central Bucks Dental Associates PC

  • Dentist
  • Warminister, PA
  • NPI 1750435525
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790839587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 OLD YORK ROAD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "18974",
            "telephone_number": "215-672-5320",
            "fax_number": "215-672-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 OLD YORK ROAD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "18974",
            "telephone_number": "215-672-5320",
            "fax_number": "215-672-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "KENNETH",
        "middle_name": "B",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035387L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warminster Wellness, LLC
• Rose Victoria Weney, RN, NP
• Lisa Anne Wescott, MSN, CRNP
• Danielle Elizabeth Whalen, BCBA
• Payton Lika Whyne, DMD
• Jessica Wiler, OTR/L
• Jennifer Rachel Winterborne
• Richard Douglas Winters Jr., DPT
• Douglas B Wohl
• Alice Wong, O.D.

• Dentist in Warminster, PA
• Providers in Warminster, PA by specialty
• Dentist 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.