Individual provider Active NPI

Amber Paige Whitenhill, D.D.S.

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1629358536
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60632 Issued in CA
Practice address
9130 Foothill Blvd
Rancho Cucamonga, CA 91730-3449
Phone
(909) 466-4999
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60632 CA Primary

Addresses

Primary practice location

9130 Foothill Blvd
Rancho Cucamonga, CA 91730-3449

Mailing address

12918 Carnesi Dr
Rancho Cucamonga, CA 91739-9546
Phone (909) 821-6796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160414000386 CA Order and Referring Only - DentistPractitioner - Dentist 1052619699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitenhill Dental Corporation Current Accepting new patients
Magaly M Velasquez DDS Professional Dental Corp PastSince Jul 15, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1629358536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12918 CARNESI DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399546",
            "telephone_number": "909-821-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 FOOTHILL BLVD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303449",
            "telephone_number": "909-466-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITENHILL",
        "first_name": "AMBER",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.