W. Allwyn Metherell, DDS Prof. Dental Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

13395 Issued in CA

Legal business name

W. ALLWYN METHERELL, DDS PROF. DENTAL CORP

Practice address

1046 Mangrove Ave Ste C
Chico, CA 95926-3548

Phone

(530) 345-6382

Fax

(530) 891-1145

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Walter Allwyn Metherell, DDS

Title

President

Phone

(530) 345-6382

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Galen Millard Fillmore, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chico, CA
  • NPI 1831390228
  NPD (past)

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1437577624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 MANGROVE AVE STE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263548",
            "telephone_number": "530-345-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MANGROVE AVE STE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263548",
            "telephone_number": "530-345-6382",
            "fax_number": "530-891-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. ALLWYN METHERELL, DDS PROF. DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "METHERELL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ALLWYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-345-6382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "13395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Vu, D.D.S.
• Charlotte Yang Houa Vue
• Janee Vue
• Lyta Vue
• Edgar Otto Vyhmeister, M.D.
• Reidun Lynne Waddell, LCSW
• Shayla Marie Waddell, N.D.
• Heather M Waddle
• Remington Wade, PHARM.D.
• Rebecca L Wadlow, PHARMD

• Clinic/Center in Chico, CA
• Providers in Chico, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.