Richard Evan Wheatfill, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25777 Issued in CA

Practice address

24502 Pacific Park Drive
Suite 106
Aliso Viejo, CA 92656

Phone

(949) 643-1111

NPI assigned

Mar 7, 2007

Last updated

Nov 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1639209430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28372 VIA RUEDA DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-249-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24502 PACIFIC PARK DRIVE",
            "address_2": "SUITE 106",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-643-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATFILL",
        "first_name": "RICHARD",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Weinandy, M.P.T.
• Sara Marie Weinkauf, PHD
• Lawrence Martin Weiss, M.D.
• West Coast Psychiatry MD P.C.
• Laquicha Westervelt, FNP-C, PMHNP-BC
• Tonya Whiteside
• Lauren Wilkinson, M.A.
• Franklin Clifford Wimberly, MA, LMFT
• Cheryle Ann Wing, RN
• Stephen Reed Wolfe, LCSW 136062

• General Practice Dentistry in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.