Organization Active NPI

Cristen D. Whitmer DDS Inc.

  • General Practice Dentistry
  • Camarillo, CA
National Provider Identifier
1972235232
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRISTEN D. WHITMER DDS INC.
Practice address
4000 Calle Tecate Ste 206
Camarillo, CA 93012-5286
Phone
(805) 379-1989
NPI assigned
Jun 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Dr. Cristen Dismuke Whitmer, DDSNPI 1750610127
Title
President
Phone
(805) 377-1485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

4000 Calle Tecate Ste 206
Camarillo, CA 93012-5286

Mailing address

4000 Calle Tecate Ste 206
Camarillo, CA 93012-5286
Phone (805) 379-1989

National Provider Directory

National Provider Directory

Locations

4000 Calle Tecate
Ste 206
Camarillo, CA 93012
Phone (805) 379-1989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1972235232",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTEN D. WHITMER DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "WHITMER",
        "authorized_official_first_name": "CRISTEN",
        "authorized_official_middle_name": "DISMUKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-377-1485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.