West Coast Maxillofacial Imaging

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

RHP41025 Issued in CA

Legal business name

WEST COAST MAXILLOFACIAL IMAGING

Practice address

7916 Pebble Beach Dr
204
Citrus Heights, CA 95610-7790

Phone

(916) 961-1032

Fax

(916) 961-5712

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Claudette L. Buehler, DRT

Title

Owner

Phone

(916) 961-1032

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1457533663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 PEBBLE BEACH DR",
            "address_2": "204",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107790",
            "telephone_number": "916-961-1032",
            "fax_number": "916-961-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 PEBBLE BEACH DR",
            "address_2": "204",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107790",
            "telephone_number": "916-961-1032",
            "fax_number": "916-961-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST MAXILLOFACIAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "BUEHLER",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-961-1032",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DRT"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "CA",
            "license": "RHP41025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDRENS SERV",
            "identifier": "CGP167321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Weideman, D.D.S.
• Lindsay Wells
• Wellspace Health
• Wellspace Health
• Tonya Wessman
• Jason David Wettig, LVN
• Brittanee Wheaton
• Sumerlyn Ellen Whicker
• Jason Ivan Whitby
• Iridian White

• Dental Laboratory in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Dental Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.