Individual provider Active NPI

Ronald Smith Wheatley, D.D.S.

  • Dentist
  • Temecula, CA
National Provider Identifier
1669601548
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D18949 Issued in CA
Practice address
46032 Paseo Gallante
Temecula, CA 92592-1258
Phone
(951) 302-6779
Fax
(951) 302-6946
NPI assigned
Jul 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D18949 CA Primary

Addresses

Primary practice location

46032 Paseo Gallante
Temecula, CA 92592-1258

Mailing address

9900 McFadden Ave
Suite 100
Westminster, CA 92683-6978
Phone (714) 531-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D18949CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1669601548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 MCFADDEN AVE",
            "address_2": "SUITE 100",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836978",
            "telephone_number": "714-531-5770",
            "fax_number": "714-531-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46032 PASEO GALLANTE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921258",
            "telephone_number": "951-302-6779",
            "fax_number": "951-302-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "RONALD",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D18949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.