Active NPI
Todd A Dwelle, MD
- Pediatrics Physician
- Monterey, CA
National Provider Identifier
1861418386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A76923
- Practice address
- 1900 Garden Rd Ste 110
Monterey, CA 93940-5334 - Phone
- (831) 372-5841
- Fax
- (831) 372-4820
- NPI assigned
- Jul 15, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A76923 | CA | Primary |
Addresses
Primary practice location
1900 Garden Rd Ste 110
Monterey, CA 93940-5334
Mailing address
4013 Los Altos Dr
Pebble Beach, CA 93953-3000
Phone (831) 625-3324
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76923 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1861418386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 LOS ALTOS DR",
"city": "PEBBLE BEACH",
"state": "CA",
"postal_code": "939533000",
"telephone_number": "831-625-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 GARDEN RD STE 110",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405334",
"telephone_number": "831-372-5841",
"fax_number": "831-372-4820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWELLE",
"first_name": "TODD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A76923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.