SARAH E WICHETA DMD, MD
NPI 1265091508
Oral & Maxillofacial Surgery in Boston, MA
- Individual
- Female
- Oral & Maxillofacial Surgery
- PECOS Enrolled
About SARAH WICHETA
This page provides the complete NPI Profile along with additional information for Sarah Wicheta, a provider established in Boston, Massachusetts with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1265091508 assigned on June 2019. The practitioner's primary taxonomy code is 204E00000X with license number 1024186 (MA). The provider is registered as an individual and her NPI record was last updated June 2026.
- NPI
- 1265091508 Verify this NPI
- Provider Name
- SARAH E WICHETA DMD, MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 LONGWOOD AVE BOSTON, MA 02115
- Location Phone
- (617) 355-6259
- Mailing Address
- 300 LONGWOOD AVE BOSTON, MA 02115
- Mailing Phone
- (617) 355-6259
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-11-2019
- Last Update Date
- 06-09-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1024186
- License State
- MA
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist | DN1859322 (MA) |
Medicare Participation & PECOS Enrollment Status
Sarah Wicheta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265091508, enumerated as an "individual" on June 11, 2019.
The provider is located at 300 LONGWOOD AVE BOSTON, MA 02115 and the phone number is (617) 355-6259.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
