Scott Edward Wathen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

36298 Issued in CA

Practice address

17139 Bellflower Blvd Ste 102
Bellflower, CA 90706-5965

Phone

(562) 920-3014

Fax

(562) 920-9010

NPI assigned

Apr 5, 2007

Last updated

Jul 8, 2007By 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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699897959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17139 BELLFLOWER BLVD STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065965",
            "telephone_number": "562-920-3014",
            "fax_number": "562-920-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17139 BELLFLOWER BLVD STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065965",
            "telephone_number": "562-920-3014",
            "fax_number": "562-920-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATHEN",
        "first_name": "SCOTT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rey Yilei Wang, PHARMD
• Yanan Wang
• Ahneishia Washington
• Toby Washington, MD
• Debra Kay Waters-Roman, LCP
• Judith L. Waxman, MD
• Erin P. Wayne, MD
• Esther M Wee, PHARM. D.
• Chia You Wei, MD
• William M. Weiser, MD

• Dentist in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.