Active NPI
Wendy Wooldrik
- Dental Hygienist
- Wayne, NE
National Provider Identifier
1962049486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1030
- Practice address
- 215 N Pearl St
Wayne, NE 68787-1975 - Phone
- (402) 375-2200
- NPI assigned
- Dec 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1030 | NE | Primary |
Addresses
Primary practice location
215 N Pearl St
Wayne, NE 68787-1975
Mailing address
2018 F Rd
West Point, NE 68788-4574
Phone (402) 372-2690
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Wayne |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Nebraska Public Health Department | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Wayne, NE
- NPI 1760883367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1962049486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 F RD",
"city": "WEST POINT",
"state": "NE",
"postal_code": "687884574",
"telephone_number": "402-372-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N PEARL ST",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871975",
"telephone_number": "402-375-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLDRIK",
"first_name": "WENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "1030",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Wayne",
"affiliation": "Y",
"address_1": "215 N Pearl St",
"city": "Wayne",
"state": "NE",
"country_code": "US",
"postal_code": "687871975",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wayne, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.