Gary Wirtschafter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31016 Issued in CA

Practice address

3855 Hughes Ave
Suite 201
Culver City, CA 90232-2729

Phone

(310) 839-8033

Fax

(310) 839-8035

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wirtschafter Dental Corporation

  • General Practice Dentistry
  • Culver City, CA
  • NPI 1295851673
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003916214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 HUGHES AVE",
            "address_2": "SUITE 201",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322729",
            "telephone_number": "310-839-8033",
            "fax_number": "310-839-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 HUGHES AVE",
            "address_2": "SUITE 201",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322729",
            "telephone_number": "310-839-8033",
            "fax_number": "310-839-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTSCHAFTER",
        "first_name": "GARY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Wimberly
• Lauren Lee Wing, PH.D.
• Kyla Winner-Connor
• Kevin Jacob Winston
• Wirtschafter Dental Corporation
• Janet Wise
• Rhonda Lynn Wise
• Casey Wisniewski, DC
• Valerie Witherspoon, PHD, RN, CS
• Steven N Witlin, M.D.

• General Practice Dentistry in Culver City, CA
• Providers in Culver City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.