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CHARLES WISEMAN D.D.S.
NPI 1033536800
Dentist - General Practice in Santa Monica, CA

Active since March 18, 2014
2509 PICO BLVD, SANTA MONICA, CA 90405(310) 392-8636 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Wiseman D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES WISEMAN D.D.S. (NPI 1033536800) is an individual general practice provider in Santa Monica, California, licensed in California (26245) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1033536800
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHARLES WISEMANCredential: D.D.S.
Location Address2509 PICO BLVDSanta Monica, CA 90405-1828
Mailing Address2509 Pico BlvdSanta Monica, CA 90405-1828 · (310) 392-8636
Phone(310) 392-8636
Sole ProprietorYes
Enumeration DateMarch 18, 2014
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1033536800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 26245
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 26245 (CA)
2509 PICO BLVD, Santa Monica, CA 90405
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANI PARKS
Social Worker
2509 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Dental)
2509 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 664-7935
DR. ANGELA TAMBUNTING ECHIVERRI M.D., M.P.H.
Family Medicine
2509 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 392-8636
DR. DIANA HOFFMAN M.D.
Family Medicine
2509 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 392-8636
DR. WHITNEY WHITING DO
Psychiatry & Neurology (Psychiatry)
2509 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
2509 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 392-8630
COUNTY OF LOS ANGELES
Clinic/Center (Public Health, State or Local)
2509 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 998-3203
JOHN A ROOHAN MD
Family Medicine
2509 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 392-8636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Wiseman's NPI number?

The NPI number for Charles Wiseman is 1033536800. It was assigned to this individual provider in the NPPES registry on March 18, 2014.

Where is Charles Wiseman located?

Charles Wiseman practices at 2509 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 392-8636.

What is Charles Wiseman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Charles Wiseman was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.