Ted Wassel, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

40040 Issued in CA

Practice address

1030 La Bonita Dr
Suite 322
San Marcos, CA 92078-5291

Phone

(760) 744-1919

Fax

(760) 744-4625

NPI assigned

Feb 23, 2011

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)

Enrolled

Practice roles

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.

• Dr. Ted a Wassel, DDS, Inc.

  • Dentist
  • San Marcos, CA
  • NPI 1255346698
  NPD (past) Authorized official

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1952608291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 LA BONITA DR",
            "address_2": "SUITE 322",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785291",
            "telephone_number": "760-744-1919",
            "fax_number": "760-744-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LA BONITA DR",
            "address_2": "SUITE 322",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785291",
            "telephone_number": "760-744-1919",
            "fax_number": "760-744-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSEL",
        "first_name": "TED",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "40040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chara Matsuo Ward, LCSW
• Kimberly Grace Ward, LVN
• Warner DDS Boardwalk PC
• Sharlyn Michelle Warner
• Zoe Washington
• Crystal Waterman
• Amy Kristen Watson, IBCLC
• Lauren Watson
• Sara Jolayne Weber
• William Alden Webster, PHARM. D

• Oral and Maxillofacial Surgery (Dentist) in San Marcos, CA
• Providers in San Marcos, 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 Feb 23, 2011; 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.