Organization Active NPI

John Wasniewski III DMD PA

  • General Practice Dentistry
  • Bear, DE
National Provider Identifier
1992191720
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001262 Issued in DE
Legal business name
JOHN WASNIEWSKI III DMD PA
Practice address
262 Fox Hunt Drive
Bear, DE 19701
Phone
(302) 832-1371
Fax
(302) 832-9380
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Dr. John J Wasniewski III, DMDNPI 1922204502
Title
Owner
Phone
(302) 832-1371

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X G1-0001262 DE Primary

Addresses

Primary practice location

262 Fox Hunt Drive
Bear, DE 19701

Mailing address

262 Fox Hunt Drive
Bear, DE 19701
Phone (302) 832-1371

National Provider Directory

National Provider Directory

Locations

262 Foxhunt Dr
Bear, DE 19701
Phone (302) 832-1371

Practitioners & affiliated clinicians

Practitioners 1

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": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1992191720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 FOX HUNT DRIVE",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "19701",
            "telephone_number": "302-832-1371",
            "fax_number": "302-832-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 FOX HUNT DRIVE",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "19701",
            "telephone_number": "302-832-1371",
            "fax_number": "302-832-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WASNIEWSKI III DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "WASNIEWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-832-1371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.