Cristen Dismuke Whitmer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58419 Issued in CA

Practice address

4000 Calle Tecate Ste 206
Camarillo, CA 93012-5286

Phone

(805) 379-1989

Fax

(805) 379-1988

NPI assigned

Dec 15, 2009

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 27, 2017 through Oct 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cristen D. Whitmer DDS Inc.

  • General Practice Dentistry
  • Camarillo, CA
  • NPI 1972235232
  NPD Authorized official

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750610127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 206",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125286",
            "telephone_number": "805-379-1989",
            "fax_number": "805-379-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 206",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125286",
            "telephone_number": "805-379-1989",
            "fax_number": "805-379-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMER",
        "first_name": "CRISTEN",
        "middle_name": "DISMUKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Mark Wexler, D. C.
• Sara Diane Whatley-Dustin, DO
• White Doves Home Care, LLC
• Michelle White
• Jason T Whited
• Sierra Whittaker
• Kristin Lynn Whorley, CATC III
• Carolyn Peyton Wickersham, RN, PMHNP-BC
• Alexander Wicksman
• Sarah Wiezer

• General Practice Dentistry in Camarillo, CA
• Providers in Camarillo, 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 Jul 21, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.