Individual provider Active NPI

Joseph Ireland Whedbee, D.D.S.

  • General Practice Dentistry
  • Redlands, CA
National Provider Identifier
1003051814
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30703 Issued in CA
Practice address
414 Tennessee St
Suite K-1
Redlands, CA 92373-8163
Phone
(909) 798-4004
NPI assigned
Dec 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30703 CA Primary

Addresses

Primary practice location

414 Tennessee St
Suite K-1
Redlands, CA 92373-8163

Mailing address

700 E Redlands Blvd
Ste U #171
Redlands, CA 92373-6143
Phone (951) 809-3934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30703CAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1003051814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E REDLANDS BLVD",
            "address_2": "STE U #171",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736143",
            "telephone_number": "951-809-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 TENNESSEE ST",
            "address_2": "SUITE K-1",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738163",
            "telephone_number": "909-798-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEDBEE",
        "first_name": "JOSEPH",
        "middle_name": "IRELAND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-08",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.