Ashraf Wasih Tawfik Wasef

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12300 Issued in MN

Practice address

4101 W Division St
Suite E0022
Saint Cloud, MN 56301-6600

Phone

(320) 252-0414

Fax

(320) 252-0420

NPI assigned

Oct 23, 2007

Sex

Male

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

Enrolled in MN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1992994131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W DIVISION ST",
            "address_2": "SUITE E0022",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016600",
            "telephone_number": "320-252-0414",
            "fax_number": "320-252-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W DIVISION ST",
            "address_2": "SUITE E0022",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016600",
            "telephone_number": "320-252-0414",
            "fax_number": "320-252-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEF",
        "first_name": "ASHRAF",
        "middle_name": "WASIH TAWFIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "12300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Warsame
• Makhal D Warsame
• Saiid Warsame
• Elizabeth Warzecha, OT
• Hannah Warzecha, RD, LD
• Valarie Washington
• William Robert Wasik, CRNA
• Michelle Wasland
• Debra Ann Kerr Wasnalas
• Lindy Watanaskul, M.D.

• General Practice Dentistry in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.