Organization Active NPI

Douglas L. Wyler DDS a Professional Corporation

  • General Practice Dentistry
  • San Dimas, CA
National Provider Identifier
1487784401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22189 Issued in CA
Legal business name
DOUGLAS L. WYLER DDS A PROFESSIONAL CORPORATION
Practice address
115 E Bonita Ave
San Dimas, CA 91773-3004
Phone
(909) 599-2369
Fax
(909) 592-6245
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas Lynn Wyler, DDS
Title
President
Phone
(909) 599-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22189 CA Primary

Addresses

Primary practice location

115 E Bonita Ave
San Dimas, CA 91773-3004

Mailing address

115 E Bonita Ave
San Dimas, CA 91773-3004
Phone (909) 599-2369

National Provider Directory

National Provider Directory

Locations

115 E Bonita Ave
San Dimas, CA 91773
Phone (909) 599-2369

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487784401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BONITA AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733004",
            "telephone_number": "909-599-2369",
            "fax_number": "909-592-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BONITA AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733004",
            "telephone_number": "909-599-2369",
            "fax_number": "909-592-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L. WYLER DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-599-2369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.