NPIMap

Organization Active NPI

Whitworth Dental Corporation

Doing business as Brea Dental Group

  • General Practice Dentistry
  • Brea, CA
National Provider Identifier
1770591026
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23398 Issued in CA
Legal business name
WHITWORTH DENTAL CORPORATION
Doing business as
Brea Dental Group
Practice address
503 E Imperial Hwy
Brea, CA 92821
Phone
(714) 672-9000
Fax
(714) 672-9086
NPI assigned
Aug 3, 2006
Last updated
Jul 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
John C Whitworth, DDSNPI 1396759320
Title
Dentist Owner
Phone
(714) 672-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23398 CA Primary

Addresses

Primary practice location

503 E Imperial Hwy
Brea, CA 92821

Mailing address

503 E Imperial Hwy
Brea, CA 92821
Phone (714) 672-9000

Other names 1

  • Brea Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1770591026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-672-9000",
            "fax_number": "714-672-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-672-9000",
            "fax_number": "714-672-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITWORTH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "714-672-9000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brea Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.