Agnieszka Wawerska, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6249 Issued in AZ

Practice address

7102 N 35TH Ave
Phoenix, AZ 85051-8390

Phone

(602) 242-1996

NPI assigned

Feb 6, 2007

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

Other identifiers 1

Other names 1

• Agnes Bartys-Wawerska Professional name

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.

• Sun City Family Dentistry

  • General Practice Dentistry
  • Sun City, AZ
  • NPI 1528189248
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801935754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 N 151ST AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382061",
            "telephone_number": "623-535-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518390",
            "telephone_number": "602-242-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWERSKA",
        "first_name": "AGNIESZKA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID",
            "identifier": "151409",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "BARTYS-WAWERSKA",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gregory Waugh, PSY.D
• Sarah Waugh, RBT
• Wausa Viking Inc
• Erika Wavak, M.D.
• Danielle Lynn Wavra
• Antony K Waweru, CRNA
• Karla D Wax, N.P.-C.
• Kimberly Jean Wax
• Paul M Wax, M.D.
• Stacey Wax

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.