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

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: July 19, 2026.

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
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

Accepted 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

The NPI number assigned to this healthcare provider is 1073167789, enumerated as an "individual" on July 31, 2019.

The provider is located at 5131 MAIN ST STE 101 SANTA FE, NM 87507 and the phone number is (505) 209-9080.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.