Organization Active NPI

Eric Wostl DDS

  • Dentist
  • Wheaton, IL
National Provider Identifier
1144487349
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ERIC WOSTL DDS
Practice address
209 N Washington St
Wheaton, IL 60187-5320
Phone
(630) 668-1455
Fax
(630) 668-4230
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mr. Eric R Wostl, DDSNPI 1104047638
Title
Dentist
Phone
(630) 668-1455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

209 N Washington St
Wheaton, IL 60187-5320

Mailing address

209 N Washington St
Wheaton, IL 60187-5320
Phone (630) 668-1455

Other identifiers 1

IdentifierTypeStateIssuer
019019600OtherILDELTA

National Provider Directory

National Provider Directory

Locations

209 N Washington St
Wheaton, IL 60187
Phone (630) 668-1455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1144487349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N WASHINGTON ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875320",
            "telephone_number": "630-668-1455",
            "fax_number": "630-668-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N WASHINGTON ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875320",
            "telephone_number": "630-668-1455",
            "fax_number": "630-668-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC WOSTL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "WOSTL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-668-1455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "019019600",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.