DR. JUDSON RUDOLPH WYNKOOP D.D.S.
NPI 1760524300
Dentist in Columbus, OH

Active since February 12, 2007PECOS Enrolled
1583 E LIVINGSTON AVE, COLUMBUS, OH 43205(614) 252-0936 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Judson Rudolph Wynkoop D.d.s. NPPES

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

DR. JUDSON RUDOLPH WYNKOOP D.D.S. (NPI 1760524300) is an individual dentist in Columbus, Ohio, licensed in Ohio (30-01-7000) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760524300
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JUDSON RUDOLPH WYNKOOPCredential: D.D.S.
Location Address1583 E LIVINGSTON AVEColumbus, OH 43205-2930
Mailing Address1583e Livingston AveColumbus, OH 43205-2930 · (614) 252-0936 · Fax (614) 252-7260
Sole ProprietorYes
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 22, 2015
NPI 1760524300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 30-01-7000
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.
1583 E LIVINGSTON AVE, Columbus, OH 43205

Other Identifiers 1

Medicaid0533266OH

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. Judson Rudolph Wynkoop D.d.s. 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 43205 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Judson Wynkoop's NPI number?

The NPI number for Judson Wynkoop is 1760524300. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Judson Wynkoop located?

Judson Wynkoop practices at 1583 E Livingston Ave, Columbus, OH 43205. The listed phone number is (614) 252-0936.

What is Judson Wynkoop's specialty?

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

Is Judson Wynkoop enrolled in Medicare?

Yes. Judson Wynkoop is registered in the Medicare PECOS enrollment system.

What insurance does Judson Wynkoop 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 14 other insurers list Judson Wynkoop 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 Judson Wynkoop was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.