Peter S Wohrle, DMD, M.MED SC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

39498 Issued in CA

Practice address

360 San Miguel Dr
# 601
Newport Beach, CA 92660-7853

Phone

(949) 720-8072

Fax

(949) 720-8073

NPI assigned

Jul 14, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871519033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "# 601",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-720-8072",
            "fax_number": "949-720-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "# 601",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-720-8072",
            "fax_number": "949-720-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHRLE",
        "first_name": "PETER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD, M.MED SC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "39498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Witt, PA-C
• Laura Elaine Wittenauer, DDS
• Richard C Wittenauer, D.D.S.
• Natasha Nicole Witzl, PHYSICIAN ASSISTANT
• Mallory Jayne Wofford
• Michael Jay Wolf, M.D.
• Salina Linda Wolf, M.D.
• Susanna Wolfe, OTR/L
• William L Wolfson, MD
• Jascha Wollank, M. D.

• Oral and Maxillofacial Surgery (Dentist) in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Oral and Maxillofacial Surgery (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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.