Individual provider Active NPI

Thomas F Wuesthoff, D.D.S.

  • General Practice Dentistry
  • Bishop, CA
National Provider Identifier
1124053301
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37612 Issued in CA
Practice address
250 N See Vee LN
Bishop, CA 93514-8130
Phone
(760) 873-3443
Fax
(760) 503-0205
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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 37612 CA Primary

Addresses

Primary practice location

250 N See Vee LN
Bishop, CA 93514-8130

Mailing address

176 Auburn CT
#5
Westlake Village, CA 91362-3614
Phone (805) 496-4247

Other practice location 1

176 Auburn Ct
#5
Westlake Village, CA 91362-3614
Phone (805) 496-4247

Other identifiers 1

IdentifierTypeStateIssuer
THP11576FMedicaidCA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208001675 CA Order and Referring Only - Other (Non-Physician) 2961706106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Lundy, DDS, Inc Past Accepting new patients
Toiyabe Indian Health Project, Inc Past Accepting new patients
Toiyabe Indian Health Project, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: thomas.wuestoff.p1@direct.toiyabe.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1124053301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 AUBURN CT",
            "address_2": "#5",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623614",
            "telephone_number": "805-496-4247",
            "fax_number": "805-496-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-3443",
            "fax_number": "760-503-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Auburn Ct",
            "address_2": "#5",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913623614",
            "country_code": "US",
            "telephone_number": "805-496-4247",
            "fax_number": "805-496-9830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUESTHOFF",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THP11576F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.