Active NPI
Douglas L. Wyler DDS a Professional Corporation
- General Practice Dentistry
- San Dimas, CA
National Provider Identifier
1487784401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22189
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.