Kimberly Ann Wojack, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H4733 Issued in MN

Practice address

16991 198TH Avenue NW
Big Lake, MN 55309-0249

Phone

(763) 263-6350

Fax

(763) 263-0136

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Big Lake Dental, PA

  • General Practice Dentistry
  • Big Lake, MN
  • NPI 1518141548
  NPD (past)
• PDG, PA

  • Dental Clinic/Center
  • Big Lake, MN
  • NPI 1629589544
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992836787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20443 213TH AVE",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098109",
            "telephone_number": "763-263-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16991 198TH AVENUE NW",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553090249",
            "telephone_number": "763-263-6350",
            "fax_number": "763-263-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJACK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H4733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennica Wanha, MA
• Robert D Wark, MA LMFT
• Stephanie Ruth Warwas, LICSW
• Glenn W Weidenbacher, MD
• Sara Jean Winkelman, M.S. CCC-SLP
• Rawan Yaghi, DDS

• Dental Hygienist in Big Lake, MN
• Providers in Big Lake, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.