Joshua Wohlgemuth, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

100105 Issued in CA

Practice address

1706 S Elena Ave Ste a
Redondo Beach, CA 90277-5715

Phone

(310) 375-0514

NPI assigned

May 2, 2016

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 7, 2020 through Oct 7, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Trent Westernoff DMD MD Inc & Martin Mardirosian DDS MD Apc General PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Redondo Beach, CA
  • NPI 1376205047
  NPD
• Westernoff DMD MD & Mardirosian DDS MD GP-W

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1710556550
  NPD

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1174978720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE STE A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-375-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 S ELENA AVE STE A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775715",
            "telephone_number": "310-375-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLGEMUTH",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "100105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athur L. Wisot, M.D.
• Abigail Withee, MFT
• Withrow Out a Trace Ministyr
• Jennifer Djie Witkowski, O.D.
• Madeline Elaine Witthuhn, AMFT
• Carolyn Wolfe, SLPA
• Mara Joanna Wolfsen, LCSW
• Fredrick Nathaniel Wolk, M.D.
• Kelly Wolschon, RDN
• Julie M Woltil, PHD

• Oral and Maxillofacial Surgery (Dentist) in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.