John C Whitworth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23398 Issued in CA

Practice address

503 E Imperial Hwy
Brea, CA 92821-5544

Phone

(714) 672-9000

Fax

(714) 672-9086

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peterson Dentistry DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Brea, CA
  • NPI 1639661341
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1396759320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215544",
            "telephone_number": "714-672-9000",
            "fax_number": "714-672-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215544",
            "telephone_number": "714-672-9000",
            "fax_number": "714-672-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chavonne Whaley
• Joseph Edward Wheatley, DDS
• Roxanne C Whitney
• Emma Whittington
• Whitworth Dental Corporation
• Robert L. Wilkinson, D.C.
• William J Christie, MD Inc
• Diamond Rich William
• Amaya Wilson, PA-C
• James Thomas Wilson, ATC, CSCS

• General Practice Dentistry in Brea, CA
• Providers in Brea, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.