DR. JOHN ANDREW WAKEMAN DDS
NPI 1063505832
Dentist - General Practice in Pismo Beach, CA

Active since October 02, 2006
1090 DOLLIVER ST, PISMO BEACH, CA 93449(805) 773-2500 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Andrew Wakeman Dds NPPES

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

DR. JOHN ANDREW WAKEMAN DDS (NPI 1063505832) is an individual general practice provider in Pismo Beach, California, licensed in California (54315) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063505832
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN ANDREW WAKEMANCredential: DDS
Location Address1090 DOLLIVER STPismo Beach, CA 93449-2508
Mailing Address1090 Dolliver StPismo Beach, CA 93449-2508 · (805) 773-2500
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
NPI 1063505832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 54315
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.
1090 DOLLIVER ST, Pismo Beach, CA 93449

Other Providers at the Same Location NPPES 4

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

Dentist (Periodontics)
1090 DOLLIVER ST
PISMO BEACH, CA 93449
Dentist
1090 DOLLIVER ST
PISMO BEACH, CA 93449
Dentist (General Practice)
1090 DOLLIVER ST
PISMO BEACH, CA 93449
Dentist
1090 DOLLIVER ST
PISMO BEACH, CA 93449

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 John Wakeman's NPI number?

The NPI number for John Wakeman is 1063505832. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is John Wakeman located?

John Wakeman practices at 1090 Dolliver St, Pismo Beach, CA 93449. The listed phone number is (805) 773-2500.

What is John Wakeman'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 John Wakeman was last updated on December 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.