Organization Active NPI

Kenneth Wach DMD LLC

  • Dental Clinic/Center
  • New Albany, IN
National Provider Identifier
1962216556
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KENNETH WACH DMD LLC
Practice address
1801 State St
New Albany, IN 47150-4917
Phone
(812) 944-9588
NPI assigned
Feb 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Kenneth Wach, DMDNPI 1215169800
Title
Owner / Dentist
Phone
(812) 944-9588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1801 State St
New Albany, IN 47150-4917

Mailing address

1801 State St
New Albany, IN 47150-4917
Phone (812) 944-9588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1962216556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504917",
            "telephone_number": "812-944-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504917",
            "telephone_number": "812-944-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH WACH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "WACH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "812-944-9588",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.