Individual provider Active NPI

Patrick Joseph Woznak, D.D.S.

  • General Practice Dentistry
  • Winchester, VA
National Provider Identifier
1942355763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7449VA Issued in VA
Practice address
345 Westside Station Dr
Winchester, VA 22601-2840
Phone
(540) 667-0883
Fax
(540) 667-2110
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7449VA VA Primary

Addresses

Primary practice location

345 Westside Station Dr
Winchester, VA 22601-2840

Mailing address

345 Westside Station Dr
Winchester, VA 22601-2840
Phone (540) 667-0883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 27, 2015 through Aug 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7449VAVAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942355763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WESTSIDE STATION DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012840",
            "telephone_number": "540-667-0883",
            "fax_number": "540-667-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 WESTSIDE STATION DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012840",
            "telephone_number": "540-667-0883",
            "fax_number": "540-667-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNAK",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7449VA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.