Active NPI
Wendell Neil Row, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Eureka, CA
National Provider Identifier
1750404497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DT26226
- Practice address
- 3132 Harrison Ave
Eureka, CA 95503-5638 - Phone
- (707) 442-1775
- Fax
- (707) 444-2821
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DT26226 | CA | Primary |
Addresses
Primary practice location
3132 Harrison Ave
Eureka, CA 95503-5638
Mailing address
3132 Harrison Ave
Eureka, CA 95503-5638
Phone (707) 442-1775
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT26226 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premiere Maxillofacial Surgeons, Inc. | Past | Accepting new patients | |
| Wendell N. Row, DDS, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Eureka, CA
- NPI 1851411367
-
- Oral and Maxillofacial Surgery Clinic/Center
- Eureka, CA
- NPI 1083895213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750404497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 HARRISON AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955035638",
"telephone_number": "707-442-1775",
"fax_number": "707-444-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 HARRISON AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955035638",
"telephone_number": "707-442-1775",
"fax_number": "707-444-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROW",
"first_name": "WENDELL",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "DT26226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.