Wayne Pundt DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10225 Issued in TX

Legal business name

WAYNE PUNDT DDS

Practice address

421 N 38TH St
Killeen, TX 76543-4153

Phone

(254) 634-0234

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wayne E. Pundt, DDS

Title

Owner

Phone

(254) 634-0234

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pundt Family Dentistry Other name

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1891952891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N 38TH ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434153",
            "telephone_number": "254-634-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N 38TH ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434153",
            "telephone_number": "254-634-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PUNDT DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "PUNDT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-634-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER ID",
            "identifier": "814-402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL CHIPS PROGRAM",
            "identifier": "G60415-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pundt Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Watson
• Christina Watts-Figueroa, MA, LMFTS, LPC, RPTS
• Emily Watts
• Stefanie Waugh, LPC
• Teresa Ewa Wawrzyniak, PHARMD
• Amanda Webb, P.T., DPT
• Kim M Weber, CRNA
• Dave E Webster, DO
• Faith Webster, LPC
• Vangalea J. Weems, P.A.

• General Practice Dentistry in Killeen, TX
• Providers in Killeen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.