Barry Wechsler DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BARRY WECHSLER DDS INC

Doing business as

Legacy Dental Group

Practice address

2124 Winifred St
Simi Valley, CA 93063-2934

Phone

(805) 527-4988

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell Aaron Wechsler, DDSNPI 1124105929

Title

Owner

Phone

(805) 527-4988

Specialties & licenses 2

Addresses

Other names 1

• Legacy Dental Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Aaron Wechsler, DDS

  • Dentist
  • Lancaster, CA
  • NPI 1124105929
  NPD Authorized official
• Joseph Barry Wechsler, DDS

  • Dentist
  • Simi Valley, CA
  • NPI 1568470409
  NPD (past)

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1306691605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 WINIFRED ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632934",
            "telephone_number": "805-527-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 WINIFRED ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632934",
            "telephone_number": "805-527-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY WECHSLER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "WECHSLER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-527-4988",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelley Ann Bannon, AUD
• Reanna Barin
• Jean Barker
• Scott T Barrella, MS LMFT
• Leanna M Barrera
• Linda Dianna Basquez, FNP
• Zade Neil Batarseh, PA-C
• David William Baucher, MPT
• Melanie Baum, DMD
• John Stuart Baumann, PT

• Dentist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.