Wormser Smiles Dental Office Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28832 Issued in CA

Legal business name

WORMSER SMILES DENTAL OFFICE INC

Practice address

910 Via de la Paz
Suite 108
Pacific Palisades, CA 90272-3515

Phone

(310) 454-3732

Fax

(310) 459-2245

NPI assigned

Mar 3, 2017

Last updated

Mar 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Philip Wormser, D.M.D.NPI 1891706099

Title

Owner

Phone

(310) 454-3732

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Philip Wormser, DMD

  • Dentist
  • Pacific Palisades, CA
  • NPI 1891706099
  NPD (past) Authorized official

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1659811065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "108",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723515",
            "telephone_number": "310-454-3732",
            "fax_number": "310-459-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "SUITE 108",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723515",
            "telephone_number": "310-454-3732",
            "fax_number": "310-459-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORMSER SMILES DENTAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "WORMSER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-454-3732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia A Winter, RDH COM
• Jennifer N Wirt, P.T.
• Il Sung Won, M.D.
• Ockja Won, M.D.
• Gordon Wong
• Ronald Philip Wormser, DMD
• Richard Wurtz, DDS
• Norimoto Yanagawa, M.D.
• Kayla Yates
• Elizabeth Yeh, OD

• General Practice Dentistry in Pacific Palisades, CA
• Providers in Pacific Palisades, 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 Mar 3, 2017; 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.