Daniel D Wicorek DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

32657 Issued in CA

Legal business name

DANIEL D WICOREK DDS INC

Practice address

3551 Farquhar Ave
101
Los Alamitos, CA 90720-2003

Phone

(562) 493-3705

Fax

(562) 493-1572

NPI assigned

Mar 4, 2015

Last updated

Mar 4, 2015By 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. Daniel Driscoll Wicorek, DDSNPI 1538342324

Title

President

Phone

(562) 493-3705

Specialties & licenses 1

Addresses

Locations

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.

• Daniel D Wicorek, D.D.S.

  • General Practice Dentistry
  • Los Alamitos, CA
  • NPI 1538342324
  NPD (past) Authorized official
• Edward Paul Wicorek, DDS

  • Dentist
  • Los Alamitos, CA
  • NPI 1457492399
  NPD (past)

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1467844126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 FARQUHAR AVE",
            "address_2": "101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202003",
            "telephone_number": "562-493-3705",
            "fax_number": "562-493-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FARQUHAR AVE",
            "address_2": "101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202003",
            "telephone_number": "562-493-3705",
            "fax_number": "562-493-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D WICOREK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "WICOREK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DRISCOLL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-493-3705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.