Active NPI
Cheryl Whisenhunt
- General Practice Dentistry
- Fresno, CA
National Provider Identifier
1063576254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43297
- Practice address
- 3585 W Beechwood Ave
Suite 102
Fresno, CA 93711-0600 - Phone
- (559) 432-0622
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 43297 | CA | Primary |
Addresses
Primary practice location
3585 W Beechwood Ave
Suite 102
Fresno, CA 93711-0600
Mailing address
3585 W Beechwood Ave
Suite 102
Fresno, CA 93711-0600
Phone (559) 432-0622
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915003269 | CA | Order and Referring Only - Dentist | 4183931645 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43297 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erick N Cuenca DMD Inc | General Practice | Past | Accepting new patients |
Interoperability endpoints
- cheryl.whisenhunt.1@17661.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Fresno Dental Beechwood
- General Practice Dentistry
- Fresno, CA
- NPI 1700095759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063576254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3585 W BEECHWOOD AVE",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110600",
"telephone_number": "559-432-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3585 W BEECHWOOD AVE",
"address_2": "SUITE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110600",
"telephone_number": "559-432-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHISENHUNT",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- 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.