DR. LARRY A WOZNUK DDS
NPI 1285859116
Dentist in San Diego, CA

Active since April 16, 2007Opted out of Medicare · through Mar 16, 2028
3625 MIDWAY DR STE A, SAN DIEGO, CA 92110(619) 224-2204(619) 224-7505 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Larry A Woznuk Dds NPPES

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

DR. LARRY A WOZNUK DDS (NPI 1285859116) is an individual dentist in San Diego, California, licensed in California (24625) and active in the NPI registry since April 2007. He has opted out of Medicare through March 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285859116
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LARRY A WOZNUKCredential: DDS
Location Address3625 MIDWAY DR STE ASan Diego, CA 92110-5202
Mailing Address3625 Midway Dr Ste ASan Diego, CA 92110-5202 · (619) 224-2204 · Fax (619) 224-7505
Fax(619) 224-7505
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJune 28, 2026
NPI 1285859116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 24625
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.

3625 MIDWAY DR STE A, San Diego, CA 92110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Larry A Woznuk Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2016 through March 16, 2028.

Opt-Out Effective DateMarch 16, 2016
Opt-Out In Effect ThroughMarch 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
3625 MIDWAY DR STE A
SAN DIEGO, CA 92110
Dentist (General Practice)
3625 MIDWAY DR STE A
SAN DIEGO, CA 92110

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 Larry Woznuk's NPI number?

The NPI number for Larry Woznuk is 1285859116. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Larry Woznuk located?

Larry Woznuk practices at 3625 Midway Dr Ste A, San Diego, CA 92110. The listed phone number is (619) 224-2204.

What is Larry Woznuk's specialty?

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

Is Larry Woznuk enrolled in Medicare?

No. Larry Woznuk has opted out of Medicare through March 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Larry Woznuk was last updated on June 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.