Wendell Peter Nordland, DMD MS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

28777 Issued in CA

Practice address

850 Prospect Street
La Jolla, CA 92037

Phone

(858) 459-7374

Fax

(858) 459-0057

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. W Peter Nordland Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336243765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PROSPECT STREET",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-459-7374",
            "fax_number": "858-459-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PROSPECT STREET",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-459-7374",
            "fax_number": "858-459-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDLAND",
        "first_name": "WENDELL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "28777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "NORDLAND",
            "middle_name": "PETER",
            "prefix": "DR.",
            "credential": "DMD MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kerstin Nolan
• Sheila Noon
• Grace Kathryn Noonan
• Eliace Noory, MD
• Norcal Registered Nursing Practitioner Services, Inc.
• Norman Kane M.D. Inc
• Dean Curtis Norman, M.D.
• North County Neurology Associates Medical Group
• North County Neurology Associates Medical Group
• David Allan Norton, MD

• Oral and Maxillofacial Surgery (Dentist) in La Jolla, CA
• Providers in La Jolla, 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 Jul 8, 2007; 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.