Kenneth B Whitworth, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

D42784 Issued in CA

Practice address

41619 Margarita Rd Ste 102
Temecula, CA 92591-2986

Phone

(951) 676-4473

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124146022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45485 EAGLE CREST LN",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921843",
            "telephone_number": "951-694-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41619 MARGARITA RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925912986",
            "telephone_number": "951-676-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "KENNETH",
        "middle_name": "B",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "D42784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Whitley
• Mary Tiana Whitlock
• Whitson Family Counseling Services, Inc.
• Whitson Family Therapy, Apc
• Rochelle M. Whitson, LMFT
• Anna Wiesemeyer
• Taylor Wikel, CLINICIAN
• Elijah Wilder, D.O.
• Grace Jerelyn Wiles
• Laura Marie Wiles

• All providers in Temecula, CA
• Oral and Maxillofacial Pathology 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.