Wadie Ahwal, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55225 Issued in CA

Legal business name

WADIE AHWAL, D.D.S., INC.

Practice address

8881 Fletcher Pkwy
Suite 265
La Mesa, CA 91942-3134

Phone

(619) 463-1113

Fax

(619) 463-1249

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Wadie N Ahwal, D.D.S., INC.

Title

Owner

Phone

(619) 463-1113

Specialties & licenses 1

Addresses

Other names 1

• Parkway Dental Group Doing business as

Locations

Practitioners 1

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

• Donald W Maxwell, DDS

  • General Practice Dentistry
  • La Mesa, CA
  • NPI 1548315518
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1174882468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 265",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-463-1113",
            "fax_number": "619-463-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 265",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-463-1113",
            "fax_number": "619-463-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADIE AHWAL, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "AHWAL",
        "authorized_official_first_name": "WADIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-463-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., INC."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vons Companies Inc
• Amy Elizabeth Vu, P.A.-C
• Hung Vu, MD
• Thomas Gregory Waddell, DDS
• Helena B Wade, LCSW
• James William Wagner, DC
• Thynn T Wai
• Daniel G Wallace, MD
• Diane Ruth Wallace, PTA
• Walmart Inc

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.