Individual provider Active NPI

Earl L Whetstone II, DDS

  • Dentist
  • Palo Alto, CA
National Provider Identifier
1437552718
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43570 Issued in CA
Practice address
744 Middlefield Rd
Palo Alto, CA 94301-2911
Phone
(650) 322-8572
Fax
(650) 322-4121
NPI assigned
Oct 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 43570 CA Primary

Addresses

Primary practice location

744 Middlefield Rd
Palo Alto, CA 94301-2911

Mailing address

744 Middlefield Rd
Palo Alto, CA 94301-2911
Phone (650) 322-8572

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
I20150522001134 CA Order and Referring Only - DentistPractitioner - Dentist 4284954710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Bui, D.M.D., I.N.C Past Accepting new patients
Earl L Whetstone II DDS a Professional Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1437552718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 MIDDLEFIELD RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012911",
            "telephone_number": "650-322-8572",
            "fax_number": "650-322-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 MIDDLEFIELD RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012911",
            "telephone_number": "650-322-8572",
            "fax_number": "650-322-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTONE",
        "first_name": "EARL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.