Organization Active NPI

Wirtschafter Dental Corporation

  • General Practice Dentistry
  • Culver City, CA
National Provider Identifier
1295851673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WIRTSCHAFTER DENTAL CORPORATION
Practice address
3855 Hughes Ave
Suite 201
Culver City, CA 90232-2729
Phone
(310) 839-8033
Fax
(310) 839-8035
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Wirtschafter, D.D.S.NPI 1003916214
Title
President
Phone
(310) 839-8033

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3855 Hughes Ave
Suite 201
Culver City, CA 90232-2729

Mailing address

3855 Hughes Ave
Suite 201
Culver City, CA 90232-2729
Phone (310) 839-8033

Other names 1

  • Studio Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

3855 Hughes Ave
Ste 201
Culver City, CA 90232
Phone (310) 839-8033

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295851673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 HUGHES AVE",
            "address_2": "SUITE 201",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322729",
            "telephone_number": "310-839-8033",
            "fax_number": "310-839-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 HUGHES AVE",
            "address_2": "SUITE 201",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322729",
            "telephone_number": "310-839-8033",
            "fax_number": "310-839-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRTSCHAFTER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIRTSCHAFTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-839-8033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.