C. Edwin Wentz DDS PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

C. EDWIN WENTZ DDS PA

Doing business as

Wentz Orthodontics

Practice address

1215 W Joe Harvey Blvd
Hobbs, NM 88240-0907

Phone

(575) 393-6047

NPI assigned

Jan 20, 2021

Last updated

Jan 26, 2021By 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. C. Edwin Wentz, DDS

Title

Owner

Phone

(806) 794-8124

Specialties & licenses 1

Addresses

Other names 1

• Wentz Orthodontics Doing business as

Locations

Practitioners 2

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.

• Holly Reeves

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lubbock, TX
  • NPI 1578234100
  NPD
• Edwin Clarence Wentz, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lubbock, TX
  • NPI 1740364074
  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1679163083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 84TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231913",
            "telephone_number": "806-794-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W JOE HARVEY BLVD",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882400907",
            "telephone_number": "575-393-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. EDWIN WENTZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-794-8124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wentz Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Eugene Burback, ATC, LAT
• Dawna Burton
• Adriana D Bush, OTR/L
• Nathaniel Butcher
• Beatriz Butler, RN
• Natasha Alexandria Caballero
• Eric Cabato, P.T.
• Luisa Cadena
• Kristine Calderon
• Kathleen M. Callaghan, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Hobbs, NM
• Providers in Hobbs, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.