NPIMap

Organization Active NPI

The Wilgus & Hunter Business Partnership

Doing business as Camarillo Periodontics

  • Periodontics
  • Camarillo, CA
National Provider Identifier
1174358550
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
THE WILGUS & HUNTER BUSINESS PARTNERSHIP
Doing business as
Camarillo Periodontics
Westlake Periodontics
Practice address
3801 Las Posas Rd Ste 205
Camarillo, CA 93010-1426
Phone
(805) 388-1730
Fax
(805) 388-2994
NPI assigned
Sep 4, 2024
Organization subpart
Yes
Parent organization
THE WILGUS & HUNTER BUSINESS PARTNERSHIPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Diane Alinda Roessler
Title
Office Manager
Phone
(805) 388-1730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

3801 Las Posas Rd Ste 205
Camarillo, CA 93010-1426

Mailing address

3801 Las Posas Rd Ste 205
Camarillo, CA 93010-1426
Phone (805) 388-1730

Other identifiers 3

IdentifierTypeStateIssuer
1790836971OtherCAJEREMY WILGUS, D.D.S.
1578992830OtherCARICHARD HUNTER, D.D.S., M.S.D.
1629527593OtherCAJULIET CHANG, D.M.D., M.S.D.

Other names 2

  • Camarillo Periodontics Doing business as
  • Westlake Periodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Wilgus Hunter Business Partnership2 organizations share this tax ID, including this one
Part of
The Wilgus Hunter Business Partnership

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3801 Las Posas Rd
Ste 205
Camarillo, CA 93010
Phone (805) 388-1730

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1174358550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAS POSAS RD STE 205",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101426",
            "telephone_number": "805-388-1730",
            "fax_number": "805-388-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAS POSAS RD STE 205",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101426",
            "telephone_number": "805-388-1730",
            "fax_number": "805-388-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILGUS & HUNTER BUSINESS PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WILGUS & HUNTER BUSINESS PARTNERSHIP",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "ROESSLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ALINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-388-1730"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEREMY WILGUS, D.D.S.",
            "identifier": "1790836971",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RICHARD HUNTER, D.D.S., M.S.D.",
            "identifier": "1578992830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JULIET CHANG, D.M.D., M.S.D.",
            "identifier": "1629527593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camarillo Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westlake Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.