Individual provider Active NPI

Wael Oweity, DDS

  • Dentist
  • Blythe, CA
National Provider Identifier
1386827830
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47147 Issued in CA
Practice address
19005 Wileys Well Rd
Blythe, CA 92225-2287
Phone
(760) 921-3000
NPI assigned
Dec 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47147 CA Primary

Addresses

Primary practice location

19005 Wileys Well Rd
Blythe, CA 92225-2287

Mailing address

19005 Wileys Well Rd
Blythe, CA 92225-2287
Phone (760) 921-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708002915 CA Order and Referring Only - DentistPractitioner - Dentist 2668784307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47147CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corrections and Rehabilitation-Headquarters PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1386827830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19005 WILEYS WELL RD",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922252287",
            "telephone_number": "760-921-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19005 WILEYS WELL RD",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922252287",
            "telephone_number": "760-921-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEITY",
        "first_name": "WAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

Verify at the official NPI Registry.