Active NPI
David Westerberg, D.D.S.
- General Practice Dentistry
- Redlands, CA
National Provider Identifier
1417058900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36121
- Practice address
- 104 E Olive Ave
Suite 205
Redlands, CA 92373-5255 - Phone
- (909) 792-2298
- Fax
- (909) 792-3038
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36121 | CA | Primary |
Addresses
Primary practice location
104 E Olive Ave
Suite 205
Redlands, CA 92373-5255
Mailing address
104 E Olive Ave
Suite 205
Redlands, CA 92373-5255
Phone (909) 792-2298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234567890987654321 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1417058900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E OLIVE AVE",
"address_2": "SUITE 205",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735255",
"telephone_number": "909-792-2298",
"fax_number": "909-792-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E OLIVE AVE",
"address_2": "SUITE 205",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735255",
"telephone_number": "909-792-2298",
"fax_number": "909-792-3038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTERBERG",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "36121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1234567890987654321",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
- Gary Merle Wernick, MD
- West Coast Equity Builder LLC
- West Coast Post Acute Physicians, Inc.
- Tanya Westcott, CADC II
- Katherine Marie Westengard, MA, LMFT
- Western Dental Services, Inc.
- Dakota Isabelle Westlake, M.A.
- Martha Wethey, MA
- WGM Consulting LLC (WGM Hospice Care)
- Joseph Ireland Whedbee, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.