Hanawalt Wes Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HANAWALT WES DENTAL CORPORATION

Practice address

2450 D St
La Verne, CA 91750-4416

Phone

(909) 593-4581

NPI assigned

Jun 8, 2021

Last updated

Jun 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peri Lynn Hanawalt Wes, DMD

Title

Owner/Dentist

Phone

(909) 238-0395

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peri Lynn Hanawalt, D.M.D.

  • General Practice Dentistry
  • La Verne, CA
  • NPI 1780972984
  NPD
• Roger M. Hanawalt, D.D.S.

  • General Practice Dentistry
  • La Verne, CA
  • NPI 1861473357
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1427625581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 D ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917504416",
            "telephone_number": "909-593-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 D ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917504416",
            "telephone_number": "909-593-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANAWALT WES DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "HANAWALT WES",
        "authorized_official_first_name": "PERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-238-0395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Habib Moussa Bashoura MD Inc
• Hakimzadeh and Reyhani Dental Corp (Pearl Dental Group)
• Susan L Haly, LMFT
• Ryan Patrick Hamann, PA
• Hanawalt Dental Corporation
• Peri Lynn Hanawalt, D.M.D.
• Roger M. Hanawalt, D.D.S.
• Mary Justina Hanna, OTR/L
• Susan Harman, FNP
• Nailah N Harris

• General Practice Dentistry in La Verne, CA
• Providers in La Verne, 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 Jun 8, 2021; 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.