David Wistrom, DDS

ActiveIndividual ProviderDentistry
NPI issued: July 17, 2006

Quick Facts

NPI Number
1083632368
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(831) 464-5409
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1083632368)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 17, 2006)
Data source: CMS NPPES

Provider Overview

DAVID WISTROM, DDS is a Dentistry provider based in Santa Cruz, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083632368
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateJuly 17, 2006

Practice Location

CitySanta Cruz
StateCA
ZIP Code95065-1819
Phone(831) 464-5409

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateCA

Mailing Address

CitySanta Cruz
StateCA
ZIP Code95065-1819
Phone(831) 464-5409
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1083632368 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083632368for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083632368 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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174,905
Dentistry Providers in the US

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People Also Ask

What is David Wistrom's NPI number?
David Wistrom's NPI number is 1083632368, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is David Wistrom's NPI currently active?
Yes, David Wistrom's NPI status is Active as of the latest CMS NPPES database updates.
What does David Wistrom specialize in?
David Wistrom specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does David Wistrom practice?
David Wistrom practices in Santa Cruz, CA 95065-1819.
When was David Wistrom's NPI issued?
David Wistrom's NPI was issued on July 17, 2006.
What is David Wistrom's provider type?
David Wistrom is registered as an Individual Provider under CMS NPI Type 1.