Western Dental Services

Primary specialty

DentistTaxonomy code 122300000X

License

58057 Issued in CA

Legal business name

WESTERN DENTAL SERVICES

Practice address

1251 S Meadow LN Apt 135
Colton, CA 92324-6447

Phone

(714) 571-3682

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Margaret Moreno

Title

Director

Phone

(714) 571-3682

Specialties & licenses 1

Addresses

Other names 1

• Western Dental Services Former legal business name

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1346480050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S MEADOW LN APT 135",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S MEADOW LN APT 135",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246447",
            "telephone_number": "714-571-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-571-3682"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Dental Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kayla Wells, PSYD, BCBA
• Lacey Janae Wells
• Miranda Wert
• Wesco Medical Supply&Equipment Co
• Roneesha West
• Western Dental Services, Inc.
• Western Healthcare Management
• Western University of Health Sciences
• Matthew D Whealon, MD
• John Alberto Whitcher, DDS

• Dentist in Colton, CA
• Providers in Colton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.