William Frederick Prewett, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19958 Issued in CA

Practice address

24900 End Hwy 202
Tehachapi Prison
Tehachapi, CA 93561

Phone

(661) 822-4402

NPI assigned

Dec 13, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• California Department of Correction/ Rehabilitation

  • Prison Health Clinic/Center
  • Tehachapi, CA
  • NPI 1699027730
  NPD (past)
• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Tehachapi, CA
  • NPI 1750916565
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1144403197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1031",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935811031",
            "telephone_number": "661-822-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 END HWY 202",
            "address_2": "TEHACHAPI PRISON",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "93561",
            "telephone_number": "661-822-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWETT",
        "first_name": "WILLIAM",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "19958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice K Polletta, NP
• John Ponder, PSYD
• Wes Michael Powell
• Premier Emergency Physicians of California Medical Group PC
• Premier Medical Doctors Inc.
• Kelly Price
• Oscar Mauricio Quintanilla Jr.
• Tamie Renee Ramirez, PHARMACY TECHNICIAN
• Reda M Tadros M D Inc
• Karena Frances Regan, P.A.

• Dentist in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.