Individual provider Active NPI

Victoria Wexley, DDS

  • Orofacial Pain Dentistry
  • Los Angeles, CA
National Provider Identifier
1508878455
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
D42018 Issued in CA
Practice address
6200 Wilshire Blvd Ste 908
Los Angeles, CA 90048-5810
Phone
(323) 655-3933
Fax
(323) 655-9725
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D42018 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 42018 CA
Orofacial Pain Dentistry 1223X2210X D42018 CA Primary

Addresses

Primary practice location

6200 Wilshire Blvd Ste 908
Los Angeles, CA 90048-5810

Mailing address

6200 Wilshire Blvd Ste 908
Los Angeles, CA 90048-5810
Phone (323) 655-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100614000218 CA Practitioner - Oral Surgery 7517097819 Practice locations: Los Angeles, CA
O20100930029483 CA DME Supplier - Physician - Maxillofacial Surgery 2062610173 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
New York University College of Dentistry, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6200 Wilshire Blvd
Suite 908
Los Angeles, CA 90048-5810
Phone (323) 655-3933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D42018CAMDOrofacial Pain Dentist

Interoperability endpoints

  • Direct secure messaging: wexleyheadachandmedicalclinic.victoriawexley@147565.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1508878455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 908",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485810",
            "telephone_number": "323-655-3933",
            "fax_number": "323-655-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD STE 908",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485810",
            "telephone_number": "323-655-3933",
            "fax_number": "323-655-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXLEY",
        "first_name": "VICTORIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "D42018",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "42018",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "D42018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.