DR. KATHRYN SUSANNE WYNNE DDS
NPI 1073167789
Dentist in Santa Fe, NM

Q: What is Kathryn Wynne's NPI number?

The NPI number for Kathryn Wynne is 1073167789. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Q: What is Kathryn Wynne's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Wynne was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2019PECOS Enrolled

5131 MAIN ST STE 101, SANTA FE, NM 87507(505) 209-9080 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kathryn Susanne Wynne Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN SUSANNE WYNNE DDS (NPI 1073167789) is an individual dentist in Santa Fe, New Mexico, licensed in New Mexico (DD5155) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073167789

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KATHRYN SUSANNE WYNNECredential: DDS

Location Address5131 MAIN ST STE 101Santa Fe, NM 87507-2682

Mailing Address5327 Camino Del GriegoSanta Fe, NM 87507

Phone(505) 209-9080

Sole ProprietorNo

Enumeration DateJuly 31, 2019

✔ NPI 1073167789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NM · DD5155

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5131 MAIN ST STE 101, Santa Fe, NM 87507

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathryn Susanne Wynne Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Wynne's NPI number?

The NPI number for Kathryn Wynne is 1073167789. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Kathryn Wynne located?

Kathryn Wynne practices at 5131 Main St Ste 101, Santa Fe, NM 87507. The listed phone number is (505) 209-9080.

What is Kathryn Wynne's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kathryn Wynne enrolled in Medicare?

Yes. Kathryn Wynne is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Wynne accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Kathryn Wynne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Wynne was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.