Active NPI
Thomas F Wuesthoff, D.D.S.
- General Practice Dentistry
- Bishop, CA
National Provider Identifier
1124053301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37612
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THP11576F | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208001675 | CA | Order and Referring Only - Other (Non-Physician) | 2961706106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Dental Clinic/Center
- Westlake Village, CA
- NPI 1568978724
-
- Clinic Pharmacy
- Bishop, CA
- NPI 1093720609
-
- Federally Qualified Health Center (FQHC)
- Bishop, CA
- NPI 1659433191
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.