Active NPI
John Michael Twichel, D.M.D.
- General Practice Dentistry
- Santee, CA
National Provider Identifier
1023350071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27211
- Practice address
- 235 Town Center Pkwy
Suite D
Santee, CA 92071-5811 - Phone
- (619) 449-8622
- Fax
- (619) 334-2350
- NPI assigned
- Mar 17, 2013
- Last updated
- Mar 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27211 | CA | Primary |
Addresses
Primary practice location
235 Town Center Pkwy
Suite D
Santee, CA 92071-5811
Mailing address
235 Town Center Pkwy
Suite D
Santee, CA 92071-5811
Phone (619) 449-8622
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27211 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Hanna Dental Corp | Past | Accepting new patients | |
| J. Michael Twichel DMD Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363478400000",
"number": "1023350071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 TOWN CENTER PKWY",
"address_2": "SUITE D",
"city": "SANTEE",
"state": "CA",
"postal_code": "920715811",
"telephone_number": "619-449-8622",
"fax_number": "619-334-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 TOWN CENTER PKWY",
"address_2": "SUITE D",
"city": "SANTEE",
"state": "CA",
"postal_code": "920715811",
"telephone_number": "619-449-8622",
"fax_number": "619-334-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWICHEL",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-17",
"last_updated": "2013-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "27211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.